Kennadi E Adams
Individual provider Active NPI Marriage & Family Therapist · Canton, OH
NPI 1467067710 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1467067710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- F2400390 (OH)
- Practice address
- 624 Market Ave N
Canton, OH 44702-1017 - Phone
- (330) 493-4553
- Fax
- (330) 493-3761
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Rising Behavioral Healthcare and Recovery, Inc.
Practice addresses (Care Compare)
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240506001565 | OH | Practitioner - Marriage and Family Therapist | 5395185490 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2400390 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rising Behavioral Healthcare and Recovery Inc | Current |
Accepting new patients | |
| Phoenix Rising Behavioral Healthcare and Recovery, Inc | Current |
Accepting new patients |
Locations
1844 W State St
Alliance, OH 44601
Phone (330) 493-4553
624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F2400390 | OH | Yes |
Addresses
Primary practice location
624 Market Ave N
Canton, OH 44702-1017
Mailing address
624 Market Ave N
Canton, OH 44702-1017
Phone (330) 493-4553
Other practice location 1
1218 W State St
Alliance, OH 44601-4626
Phone (330) 493-4553 ext. 108
Other providers in Canton, OH
- Anna Marie Adams
- Christina Adams
- Dakota N Adams
- Franklin Leroy Adams
- Hailey Adams
- Linda Adams
- Patricia Jean Adams
- Debbie Marie Adamsshumaker
- Emily C. Addessi
- Karen A Addis
All providers in Canton, OH · Marriage & Family Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.