Kennedy Consultation & Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KENNEDY CONSULTATION & WELLNESS

Practice address

1611 W Centre Ave Ste 110
Portage, MI 49024-5344

Phone

(269) 350-4157

NPI assigned

Aug 5, 2026

Organization subpart

No

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

Authorized official

Name

Alicia Rene Kennedy, LMSW

Title

Owner

Phone

(269) 364-4157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1508780404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245344",
            "telephone_number": "269-350-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CONSULTATION & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-364-4157",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Keena
• Carla Jean Kelly, LPC, LLPC
• Kevin James Kelly, MD
• Christina M Kemple
• Cynthia R Kemple, OT
• Bridget Sage Kenny, P.A.-C.
• Jessica A Kerby, PHD
• Keszei Vision Care, PLC
• Vincent Andrew Keszei, M.D.
• Joshua Kettlewell, PT, DPT

• Mental Health Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.