Individual provider Active NPI

Emily Harris Kennedy, LAPC

  • Mental Health Counselor
  • Clackamas, OR
National Provider Identifier
1598454530
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R8318 Issued in OR
Practice address
9123 SE Saint Helens St Ste 175
Clackamas, OR 97015-6858
Phone
(503) 427-1737
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R8318 OR Primary

Addresses

Primary practice location

9123 SE Saint Helens St Ste 175
Clackamas, OR 97015-6858

Mailing address

9123 SE Saint Helens St Ste 175
Clackamas, OR 97015-6858
Phone (503) 427-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R8318ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossing Bridges Counseling Center Mental Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

9123 SE Saint Helens St
Ste 175
Clackamas, OR 97015
Phone (503) 427-1737

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1598454530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 175",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156858",
            "telephone_number": "503-427-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 175",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156858",
            "telephone_number": "503-427-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "EMILY",
        "middle_name": "HARRIS",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.