Bridget Kenevan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42573 Issued in CA

Practice address

500 Allerton St
Suite 200
Redwood City, CA 94063-1519

Phone

(650) 363-4764

Fax

(650) 216-9164

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 14, 2025 through Oct 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of San Mateo

  dba Shasta

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD (past)
• Palo Alto Therapy a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Palo Alto, CA
  • NPI 1457754962

  Marriage & Family Therapist

  NPD (past)
• San Mateo County

  dba Palos Verdes

  • Community/Behavioral Health Agency
  • San Bruno, CA
  • NPI 1093807315

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1720265028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 COMMODORE DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662304",
            "telephone_number": "650-583-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST",
            "address_2": "SUITE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "telephone_number": "650-363-4764",
            "fax_number": "650-216-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEVAN",
        "first_name": "BRIDGET",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Amanda Keeler
• Lee Keenan
• Julie Keller
• Trudy A Keltz, GNP
• Donald J Kemp Jr., PA-C
• Gannon Daniel Kennedy, M.D.
• Neeve Kennedy, DPT
• Kenneth a Holman DDS Inc
• William Kenworthey, PA
• Charlotte Kernan Moore

• Marriage & Family Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.