Leeann Wilcox Kennedy, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-3678 Issued in NC

Practice address

1442 Military Cutoff Rd Unit B
Wilmington, NC 28403-3605

Phone

(910) 270-9995

NPI assigned

Mar 20, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• 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

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.

• Anchor Psychological & Counseling Services PLLC

  • Clinical Psychologist
  • Hampstead, NC
  • NPI 1114124401

  Mental Health

  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1497870190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 MILITARY CUTOFF RD UNIT B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033605",
            "telephone_number": "910-270-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 MILITARY CUTOFF RD UNIT B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033605",
            "telephone_number": "910-270-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LEEANN",
        "middle_name": "WILCOX",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC-3678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "137W4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102645",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Companion Care LLC
• Bailee Kennedy, DPT
• Breeana Cain Kennedy, LCMHC
• Kaelin Elizabeth Kennedy, LCSWA
• Katelyn Gerri Kennedy, DO
• Lisa Quick Kennedy
• Mary Grace Kennedy
• Samantha Elizabeth Kennedy, MA CF-SLP
• Sonia Vieregge Kennedy, MS, RD, LDN
• Kensuke Matsumoto, D.M.D., M.S., P.a.

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.