Individual provider Active NPI

Teresa Roselle Kennedy, LCPC

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1669492302
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1295 Issued in MT
Practice address
1340 Cloverleaf PL
Billings, MT 59106-2486
Phone
(406) 861-5578
NPI assigned
Jul 19, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1295 MT Primary

Addresses

Primary practice location

1340 Cloverleaf PL
Billings, MT 59106-2486

Mailing address

1340 Cloverleaf PL
Billings, MT 59106-2486
Phone (406) 861-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20240502003368 MT Practitioner - Mental Health Counselor 5193160596 Practice locations: Billings, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1340 Cloverleaf PL
Billings, MT 59106-2486
Phone (406) 861-5578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1295MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa Kennedy Counseling and Consulting, PLLC Professional CurrentSince Mar 1, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1669492302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CLOVERLEAF PL",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062486",
            "telephone_number": "406-861-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CLOVERLEAF PL",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062486",
            "telephone_number": "406-861-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TERESA",
        "middle_name": "ROSELLE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.