Organization Active NPI

Kennedy Heights Counseling Services

  • Point of Service
  • Cincinnati, OH
National Provider Identifier
1407300049
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
E.1000112 Issued in OH
Legal business name
KENNEDY HEIGHTS COUNSELING SERVICES
Practice address
3738 Davenant Ave
Cincinnati, OH 45213-2219
Phone
(513) 266-9581
NPI assigned
Aug 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Carrie Beaver, LPCC
Title
Licensed Clinical Counselor
Phone
(513) 266-9581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X E.1000112 OH Primary

Addresses

Primary practice location

3738 Davenant Ave
Cincinnati, OH 45213-2219

Mailing address

3738 Davenant Ave
Cincinnati, OH 45213-2219
Phone (513) 266-9581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1407300049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 DAVENANT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132219",
            "telephone_number": "513-266-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 DAVENANT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132219",
            "telephone_number": "513-266-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HEIGHTS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "513-266-9581",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OH",
            "license": "E.1000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.