Kendra Leeann Laconsay, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1055 Issued in AL

Practice address

30466 SGT E I Boots Thomas Dr Ste 208
Spanish Fort, AL 36527-7631

Phone

(251) 586-1009

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• American Autism & Rehabilitation Center Inc

  • Occupational Therapist
  • Daphne, AL
  • NPI 1477955417
  Medicare reassignment NPD
• Sunshine Behavioral Health Center, LLC

  • Mental Health Counselor
  • Mount Vernon, AL
  • NPI 1952813503
  Medicare reassignment NPD
• R & R Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daphne, AL
  • NPI 1508562703
  NPD (past)
• State of Alabama Dept of Finace

  • Psychiatric Hospital
  • Tuscaloosa, AL
  • NPI 1437295409
  NPD (past)
• State of Alabama Dept of Finance

  • Psychiatric Hospital
  • Mt Vernon, AL
  • NPI 1427066307
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1639224744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30466 SGT E I BOOTS THOMAS DR STE 208",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277631",
            "telephone_number": "251-586-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30466 SGT E I BOOTS THOMAS DR STE 208",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277631",
            "telephone_number": "251-586-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACONSAY",
        "first_name": "KENDRA",
        "middle_name": "LEEANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000098834",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Kimbrell, DC
• John P Kline, PH.D.
• KMH Therapy Services
• Maggie Knight, MSN, CRNP, PMHNP-BC
• KRK Inc
• Kelly Cay Lambeth, ARNP
• Ryan M Lawrence, D.C.
• Robert Dave Lazarine, PT
• Savannah Diane Lee, PHARMD
• Legacy Specialty Pharmacy LLC

• Clinical Psychologist in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.

Verify at the official NPI Registry.