Individual provider Active NPI

Jessica Ashley Schreier Kennard, MA, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1376159764
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0212071 Issued in NM
Practice address
9741 Candelaria Rd NE
Albuquerque, NM 87112-1401
Phone
(505) 252-3285
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0212071 NM Primary

Addresses

Primary practice location

9741 Candelaria Rd NE
Albuquerque, NM 87112-1401

Mailing address

2703 Floral Rd NW
Albuquerque, NM 87104-1927
Phone (505) 974-5558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkennard@rapecrisiscnm.org Direct Rape Crisis Center of Central New Mexico

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0212071NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rape Crisis Center of Central New Mexico CurrentSince Sep 27, 2020 Accepting new patients

Locations

9741 Candelaria Rd NE
Albuquerque, NM 87112
Phone (505) 219-3620

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376159764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 FLORAL RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041927",
            "telephone_number": "505-974-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 CANDELARIA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121401",
            "telephone_number": "505-252-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIER KENNARD",
        "first_name": "JESSICA",
        "middle_name": "ASHLEY",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0212071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkennard@rapecrisiscnm.org",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Rape Crisis Center of Central New Mexico",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9741 Candelaria Rd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871121401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.