Kennedy Psychotherapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63604 Issued in TX

Legal business name

KENNEDY PSYCHOTHERAPY, PLLC

Practice address

4422 Pack Saddle Pass
Suite 101
Austin, TX 78745-1681

Phone

(512) 445-3494

NPI assigned

Apr 8, 2015

Organization subpart

No

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

Authorized official

Name

Brian E Kennedy, LPC

Title

Sole Member

Phone

(512) 965-8586

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1679969414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451681",
            "telephone_number": "512-445-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 PACK SADDLE PASS",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451681",
            "telephone_number": "512-445-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "512-965-8586",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deosslyn Kendricks
• Saamiha Kenkare
• Kenmar Residential HCS Services Inc.
• Kenmar Residential Services, Incorporated
• Kenmar Residential Services, Incorporated
• Ann Katherine Kennedy
• Bobby Joe Kennedy, DO
• Catherine Karen Kennedy, O.D.
• Cynthia Reyes Kennedy, AU.D.
• Emily Claire Kennedy, RBT

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.