NPIMap

Organization Active NPI

Kennedy Intensive in Home & Mental Health Services

  • Mental Health Counselor
  • Wadesboro, NC
National Provider Identifier
1386963270
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KENNEDY INTENSIVE IN HOME & MENTAL HEALTH SERVICES
Practice address
216 Wortham St
Wadesboro, NC 28170-2424
Phone
(704) 690-2274
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Veronica Kennedy
Title
Owner
Phone
(704) 690-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

216 Wortham St
Wadesboro, NC 28170-2424

Mailing address

216 Wortham St
Wadesboro, NC 28170-2424

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Intensive in Home Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

216 Wortham St
Wadesboro, NC 28170
Phone (704) 690-2274

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1386963270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WORTHAM ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WORTHAM ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702424",
            "telephone_number": "704-690-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY INTENSIVE IN HOME & MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-690-2274"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.