Kelly Kennedy, MS, LMFT-I

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

5205 Issued in SC

Practice address

167 Alabama St
Spartanburg, SC 29302-1501

Phone

(864) 583-1010

Fax

(864) 582-6361

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Westgate Training and Consultation Network

  • Marriage & Family Therapist
  • Spartanburg, SC
  • NPI 1922037803
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1376857599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ALABAMA ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021501",
            "telephone_number": "864-583-1010",
            "fax_number": "864-582-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ALABAMA ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021501",
            "telephone_number": "864-583-1010",
            "fax_number": "864-582-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "5205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Marie Kelsey, RN, BSN
• Ashley Kemp, LPC
• Lynette Kemp, A.P.R.N.
• Brittany Hall Kennedy, NP
• Christin Hope Kennedy, BS, BCABA
• Leslie Hammett Kennedy, NP
• Kimberly N. Kennemore, OT
• Martha Dawn Kennington, LPN
• Ashley Rawson Kerekes, M.D.
• William W Kerfoot, MD

• Marriage & Family Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.