Kennedy Creek Behavioral Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KENNEDY CREEK BEHAVIORAL HEALTH LLC

Practice address

57 E Main St
Adrian, MO 64720-8201

Phone

(816) 805-2503

Fax

(816) 280-4874

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa M Kennedy, INSTRUCTOR, PEER

Title

Ceo

Phone

(816) 805-2503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1407753536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647200067",
            "telephone_number": "816-805-2503",
            "fax_number": "816-280-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647208201",
            "telephone_number": "816-805-2503",
            "fax_number": "816-280-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CREEK BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-805-2503",
        "authorized_official_credential": "INSTRUCTOR, PEER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Glenn Gardner, PA-C
• Tiffany Hendricks, LCSW
• Heidi Hendrickson, COTA/L
• Monique A Hill, COTA/L
• Lynn A Hines
• Bailie G Land, CPM
• Melissa M Lane, CPS
• Phyllis M Miller, COTA
• James Naber
• Ann Schrock, PTA

• Clinical Social Worker in Adrian, MO
• Providers in Adrian, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.