Venus Elizabeth Kennedy, LCMHCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S12560 Issued in NC

Practice address

1800 East Blvd
Charlotte, NC 28203-5826

Phone

(704) 313-3088

Fax

(704) 313-3088

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Venus Jacobus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charlotte Women'S Counseling

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1023635851
  NPD Authorized official

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1831469022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035826",
            "telephone_number": "704-313-3088",
            "fax_number": "704-313-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035826",
            "telephone_number": "704-313-3088",
            "fax_number": "704-313-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VENUS",
        "middle_name": "ELIZABETH",
        "credential": "LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S12560",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-13705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENUS",
            "last_name": "JACOBUS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Kennedy
• Mykael Kennedy
• Nikita Charles Kennedy, OTR/L
• Scott Reed Kennedy, M.D.
• Tara Ann Kennedy, FNP- BC
• Kennedystrong Foundation
• Amara Morris Kenneh
• Brenda Kennell, OTR/L
• Christina Crabbe Kennelly, M.D.
• Michael J. Kennelly, MD

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.