Kennedy Brooks
Individual provider Active NPI Mental Health Counselor · Canby, OR
NPI 1831084136 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1831084136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 22018 S Central Point Rd
Canby, OR 97013-8705 - Phone
- (503) 221-4531
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Counseling Center, Inc | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
22018 S Central Point Rd
Canby, OR 97013-8705
Mailing address
22018 S Central Point Rd
Canby, OR 97013-8705
Other providers in Canby, OR
- Meghan E. Brennan
- Deona Lynn Bridgeman
- Janae Z Brill
- Ashley McFerron Brittner
- Catherine Bronec
- Brookside Dental-Canby, LLC
- Rebecca Brown Schroeder
- Jessica L Budeau
- Sarah E Burgon
- C Steven Hagler DMD PC
All providers in Canby, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.