Judith M Kennedy, ED.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT1183 Issued in SD

Practice address

2620 Jackson Blvd
Rapid City, SD 57702-1502

Phone

(605) 209-5540

NPI assigned

Aug 16, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1831381581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "57754",
            "telephone_number": "605-209-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021502",
            "telephone_number": "605-209-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LMFT1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Frances Kelly, MS
• Timothy Lynn Kelly, DDS
• Margaret D Kelsey, PHD
• Andrew Kelts, D.O.
• Kay Kelts, DO
• Kimberly Kennedy
• Kenneth C Diamond MD PC (Diamond Family Medicine)
• James Raleigh Kerr, MD
• Earl Edward Kessel, CRNA
• Stacy Lynn Keyser, MS,LPC-MH, NCC, QMHP

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.