Kevin Kennan, MFTC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9351 Grant St Ste 480
Thornton, CO 80229-4375

Phone

(720) 939-3514

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1336645654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E 112TH PL",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333100",
            "telephone_number": "720-939-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 480",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294375",
            "telephone_number": "720-939-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNAN",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MFTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kelly-Caulfield
• Alexandra Kelly
• Jasmin Roberson Kelly, MSW LCSW
• Lindsay Kyle Kemp, MED, CCC-SLP
• Kendelle Krause, D.C., P.C.
• Carol Ann Kennedy, SLP
• James Allen Kennedy, NRP
• Jessica K Kennedy, PA-C
• Julie Kennedy, NP
• Marissa Lenore Kennedy, BCBA

• Mental Health Counselor in Thornton, CO
• Providers in Thornton, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.