Marcia Kennedy, LCP, LSCSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1498 Issued in KS

Practice address

654 N Woodchuck St Ste F
Wichita, KS 67212-3571

Phone

(316) 371-7226

Fax

(888) 527-4437

NPI assigned

May 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marcia Kennedy Professional name

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MKC Counseling, LLC

  • Psychologist
  • Wichita, KS
  • NPI 1518476589
  Medicare reassignment NPD
• The Bodymind, LLC

  • Family Psychologist
  • Wichita, KS
  • NPI 1922988146
  NPD Authorized official

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1376999409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 N VALLEYVIEW ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124367",
            "telephone_number": "316-371-7226",
            "fax_number": "888-527-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 N WOODCHUCK ST STE F",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123571",
            "telephone_number": "316-371-7226",
            "fax_number": "888-527-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MARCIA",
        "credential": "LCP, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4695",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-2454443",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "KENNEDY",
            "credential": "LCP, LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashlynn Kennedy, PTA
• Dennis S Kennedy, LMFT
• Jeri Lyn Kennedy, LSCSW
• Kayla Deann Kennedy, DPT
• Kelli Dawn Kennedy, LSCSW
• Mark Kennedy, ATC
• Susan Lynn Kennedy, M.S. CCC-SLP
• Joshua Michael Kennell
• Kenneth W. Nelson, DDS, PA
• Janet C Kenny, SLP

• Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.