Stephanie J Kenney, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2089 Issued in NH

Practice address

2977 White Mountain Hwy
North Conway, NH 03860-5111

Phone

(603) 651-1441

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Stephanie J Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Main St Counseling Center

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1720417876
  NPD (past)
• Main Street Counseling Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Orange, NJ
  • NPI 1578699070
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1548718356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "INTERVALE",
            "state": "NH",
            "postal_code": "038450353",
            "telephone_number": "908-922-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605111",
            "telephone_number": "603-651-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Marcella Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524164",
            "country_code": "US",
            "telephone_number": "973-736-2041",
            "fax_number": "973-669-9683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC5084",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00525100",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": "590738",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PHILLIPS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Kanter, APRN
• Patricia M Keane, PT, MA
• Kallie Anne Keene
• Adam Kenney, LCMHC, LCPC, NCC
• Leo Michael Kenney, D.C.
• Kerin Graham OT
• Nelle Purcell Killourie, PA-C
• Kimberly Louise Kleinpeter, PT
• Susan Klementovich, RPH
• Ann-Marie Knox

• Mental Health Counselor in North Conway, NH
• Providers in North Conway, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.