NPIMap

Organization Active NPI

Kennett Consulting LLC

Doing business as Eastside Family Counseling

  • Mental Health Counselor
  • Redmond, WA
National Provider Identifier
1669906954
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60321719 Issued in WA
Legal business name
KENNETT CONSULTING LLC
Doing business as
Eastside Family Counseling
Practice address
8060 165TH Ave NE
Suite 220
Redmond, WA 98052-3981
Phone
(425) 406-8627
NPI assigned
Apr 13, 2017
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Jennifer S. Kennett, MA MBA LMHCANPI 1558799429
Title
Owner
Phone
(425) 406-8627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MC60321719 WA Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MC60701783 WA
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X LF60729575 WA

Addresses

Primary practice location

8060 165TH Ave NE
Suite 220
Redmond, WA 98052-3981

Mailing address

8060 165TH Ave NE
Suite 220
Redmond, WA 98052-3981
Phone (425) 406-8627

Other names 1

  • Eastside Family Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

8060 165th Ave NE
Ste 220
Redmond, WA 98052
Phone (206) 697-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1669906954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 165TH AVE NE",
            "address_2": "SUITE 220",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523981",
            "telephone_number": "425-406-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 165TH AVE NE",
            "address_2": "SUITE 220",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523981",
            "telephone_number": "425-406-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "KENNETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-406-8627",
        "authorized_official_credential": "MA MBA LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60321719",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60701783",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60729575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.