Active NPI
Caprice Eve Nika Kennedy
- Mental Health Counselor
- Poughkeepsie, NY
National Provider Identifier
1588470744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18-P130152-01
- Practice address
- 510 Maloney Rd Apt K16
Poughkeepsie, NY 12603-5909 - Phone
- (845) 541-9220
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18-P130152-01 | NY | Primary |
Addresses
Primary practice location
510 Maloney Rd Apt K16
Poughkeepsie, NY 12603-5909
Mailing address
510 Maloney Rd Apt K16
Poughkeepsie, NY 12603-5909
Phone (845) 541-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-P130152-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1588470744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 MALONEY RD APT K16",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126035909",
"telephone_number": "845-541-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 MALONEY RD APT K16",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126035909",
"telephone_number": "845-541-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "CAPRICE",
"middle_name": "EVE NIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "18-P130152-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.