Tonya Kennard, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6322 Issued in TN

Practice address

2971 Fort Henry Dr
Kingsport, TN 37664-4005

Phone

(423) 392-2975

Fax

(423) 392-2983

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jenisys Behavioral Health

  • Mental Health Counselor
  • Piney Flats, TN
  • NPI 1679382352
  NPD Authorized official

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1457117301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 DOGWOOD TRL",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376864314",
            "telephone_number": "423-773-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644005",
            "telephone_number": "423-392-2975",
            "fax_number": "423-392-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "TONYA",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W Jan Kazmier, M.D.
• Tonya Jean Keen
• Zachary Kegley, DO
• Meghan Keita, DPT, PT
• Kristopher Jacob Keller, DDS
• Hunter Kenney
• Kenyon Brennan and Day Assoc. Inc.
• Lisa Marie Ketchem, FNP-C
• Dylan Ketner, PTA
• Christina Diane Ketron, BS

• Professional Counselor in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.