Patrick Brian Kennedy, M.S., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

85154 Issued in TX

Practice address

3710 Rawlins St Ste 1420
Dallas, TX 75219-4296

Phone

(214) 385-5445

Fax

(817) 382-2956

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Mental Health Counselor

Education

Southern Methodist University Medical Department, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Room for ChangeGroup PAC ID 2365894284, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Room for Change

  • Counselor
  • Garland, TX
  • NPI 1225535644
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1427640168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 RAWLINS ST STE 1420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194296",
            "telephone_number": "214-385-5445",
            "fax_number": "817-382-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 RAWLINS ST STE 1420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194296",
            "telephone_number": "214-385-5445",
            "fax_number": "817-382-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3256 Southern Dr Ste 461",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750431533",
            "country_code": "US",
            "telephone_number": "214-385-5445",
            "fax_number": "817-382-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PATRICK",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "85154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Elizabeth Kennedy, MD
• Laura Kennedy, NP-C
• Malarie V Kennedy
• Meagan Kennedy
• Pamela Genise Kennedy, DPM
• Ryan O Kennedy, M.D.
• Sarah Anne Kennedy, DO
• Shacoda Kennedy
• Zachary A Kennedy, MD
• Anna Jeannette Kennell, PT, DPT

• Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.