Kennedy Heights Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E1000112 Issued in OH

Legal business name

KENNEDY HEIGHTS COUNSELING SERVICES LLC

Practice address

10999 Reed Hartman Hwy
Suite 130
Blue Ash, OH 45242

Phone

(513) 266-9581

NPI assigned

Oct 18, 2016

Last updated

Apr 10, 2019By 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

Ms. Carrie Elizabeth Beaver, LPCC, LICDC

Title

Owner/Counselor

Phone

(513) 266-9581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1427509157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY",
            "address_2": "SUITE 130",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-266-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY",
            "address_2": "SUITE 130",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-266-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HEIGHTS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "513-266-9581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1000112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Keller, MA, LPC
• Kelly Grover Counseling LLC
• David Charles Kelly Jr.
• Lisa Diane Kelly, M.D.
• Cecilia Kendrick, DMD
• Amanda Lauren Kennedy, AGACNP-BC
• Eboni Kennedy, RN
• Gracelyn Rose Kephart, CT
• Tyler Travis Kerr, OD
• Christopher James Kersting, FNP-C

• Mental Health Counselor in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.