Sally Kennedy Ma LMHC LMFT

Primary specialty

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

License

39001905A Issued in IN

Legal business name

SALLY KENNEDY MA LMHC LMFT

Practice address

921 E 86TH St
Indianapolis, IN 46240-1859

Phone

(317) 345-4065

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Kennedy, MA LMHC LMFT

Title

Owner

Phone

(317) 345-4065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1770877755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401859",
            "telephone_number": "317-345-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401859",
            "telephone_number": "317-345-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY KENNEDY MA LMHC LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-345-4065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LMHC LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "39001905A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sall, M.D.
• Adrienne Sallee, RN BSN IBCLC
• Stephen Sallee, RN
• Jessie Salley, OTR
• Omar Sallout, MD
• Sarah Ann Salmon, M.S. OTR
• Taylor N Salmon
• Timothy Salmons, LCSW
• Jaime Nuguid Salomon Jr., MD
• Fadi S. Saloum, D.D.S

• Mental Health Clinic/Center (Including Community Mental Health Center) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.