The Kennedy Group Outpatient LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE KENNEDY GROUP OUTPATIENT LLC

Practice address

112 Kings Way
Hampton, VA 23669-3500

Phone

(757) 722-1800

Fax

(757) 722-1900

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Beonko Sampson

Title

Ceo

Phone

(757) 722-1800

Specialties & licenses 4

Addresses

Locations

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.

• Tiffany Monique Davis, LPC

  • Counselor
  • Newport News, VA
  • NPI 1679900492
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750890364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KINGS WAY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693500",
            "telephone_number": "757-722-1800",
            "fax_number": "757-722-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KINGS WAY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693500",
            "telephone_number": "757-722-1800",
            "fax_number": "757-722-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KENNEDY GROUP OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "BEONKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-722-1800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Foleck Center, LTD. (The Foleck Center)
• The Foleck Center, LTD.
• The Helping People Place
• The Jasmine Charitable Trust
• The Kennedy Group
• The Little Speech Box, LLC
• The Milieu Therapeutic Services, PC (tmtsonline.com)
• The Moods Center
• The Next Step Therapeutic Services LLC
• The Process Counseling and Psychotherapy, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hampton, VA
• Providers in Hampton, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.