Individual provider Active NPI

Alexandra Kennedy, MS, LAC, NCC, CPRP

  • Mental Health Counselor
  • Scotch Plains, NJ
National Provider Identifier
1790555803
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01182200 Issued in NJ
Practice address
99 Spruce Mill LN
Scotch Plains, NJ 07076-3179
Phone
(732) 710-0281
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01182200 NJ Primary

Addresses

Primary practice location

99 Spruce Mill LN
Scotch Plains, NJ 07076-3179

Mailing address

99 Spruce Mill LN
Scotch Plains, NJ 07076-3179
Phone (732) 710-0281

Other names 1

  • Alexx Kennedy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37PC01182200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1790555803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPRUCE MILL LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763179",
            "telephone_number": "732-710-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SPRUCE MILL LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763179",
            "telephone_number": "732-710-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ALEXANDRA",
        "credential": "MS, LAC, NCC, CPRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01182200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXX",
            "last_name": "KENNEDY",
            "credential": "MS, LAC, NCC, CPRP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.