Jeffrey G Kennedy, MA, LPCC, CDCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1200140 Issued in OH

Practice address

11440 Hamilton Ave
Suite 206
Cincinnati, OH 45231-6103

Phone

(513) 648-9596

Fax

(513) 648-9586

NPI assigned

May 28, 2013

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Embrace Recovery and Wellness Center, LLC

  • Counselor
  • Cincinnati, OH
  • NPI 1265818249
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1366889651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 HAMILTON AVE",
            "address_2": "SUITE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316103",
            "telephone_number": "513-648-9596",
            "fax_number": "513-648-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 HAMILTON AVE",
            "address_2": "SUITE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316103",
            "telephone_number": "513-648-9596",
            "fax_number": "513-648-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC, CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1200140",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.120697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kennedy, PH.D.
• Erin E Kennedy, CNP
• Jack Timothy Kennedy, M.A. LICDC
• Jamie Renee Kennedy, RN
• Jasmine J Kennedy
• Jessica A Kennedy
• John Kennedy III, MD
• Kamia Kennedy
• Kayla Kennedy, RN
• Kimberly N Kennedy

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.