Active NPI
Philip Simmons Kenney, MS LPC
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1619019296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0039
- Practice address
- 834 SW St Clair Att Philip Kenney
Suite #204
Portland, OR 97205 - Phone
- (503) 224-0781
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 0074 | OR | |
| Marriage & Family Therapist | 106H00000X | T0039 | OR | Primary |
Addresses
Primary practice location
834 SW St Clair Att Philip Kenney
Suite #204
Portland, OR 97205
Mailing address
834 SW St Clair Att Philip Kenney
Suite #204
Portland, OR 97205
Phone (503) 224-0781
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 0074 | OR | MD | Counselor |
| T0039 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619019296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 SW ST CLAIR ATT PHILIP KENNEY",
"address_2": "SUITE #204",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-224-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 SW ST CLAIR ATT PHILIP KENNEY",
"address_2": "SUITE #204",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-224-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "PHILIP",
"middle_name": "SIMMONS",
"name_prefix": "Mr.",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "LPC 0074",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.