Logan Hannah Kennedy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3890 Dunn Ave Ste 1104
Jacksonville, FL 32218-6432

Phone

(904) 765-0665

NPI assigned

Jul 31, 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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1548099245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8958 HUNT VALLEY DR W APT SUITE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575384",
            "telephone_number": "904-881-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE STE 1104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186432",
            "telephone_number": "904-765-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LOGAN",
        "middle_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentina Victoria Kennedy, APRN
• Jessica Hyams Kennedy, AA-C
• John Fitzgerald Kennedy, MD
• Joseph Richard Kennedy
• Kristin Kennedy
• Pamela Bonner Kennedy, PHARMD
• Samantha Tarantino Kennedy, MD
• Sequoia Kennedy
• Sidney Kennedy
• Taylor Paige Kennedy, MD

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.