Organization Active NPI

Kennington and Associates, Inc.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1841463593
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25490 Issued in TX
Legal business name
KENNINGTON AND ASSOCIATES, INC.
Practice address
21638 State Highway 249 Ste D
Houston, TX 77070-1891
Phone
(713) 201-8791
NPI assigned
Apr 2, 2008
Organization subpart
Yes
Parent organization
MARY KENNINGTON, PH.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Mary Esther Kennington, PH.D.NPI 1275628810
Title
Psychologist
Phone
(713) 201-8791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 25490 TX Primary

Addresses

Primary practice location

21638 State Highway 249 Ste D
Houston, TX 77070-1891

Mailing address

21638 State Highway 249 Ste D
Houston, TX 77070-1891
Phone (713) 201-8791

Other identifiers 3

IdentifierTypeStateIssuer
86830AOtherBLUE CROSS BLUE SHIELD TX
1275628810OtherNPI-INDIVIDUAL
211288OtherWADEPT. LABOR & INDUST.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000187 TX Part B Supplier - Clinic/Group Practice 4082742804 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Part of
Kennington and Associates I

Locations

10611 Grant Rd
Houston, TX 77070
Phone (281) 894-7777

21638 Tomball Pkwy
Ste D
Houston, TX 77070
Phone (281) 376-5921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1841463593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21638 STATE HIGHWAY 249 STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701891",
            "telephone_number": "713-201-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21638 STATE HIGHWAY 249 STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701891",
            "telephone_number": "713-201-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNINGTON AND ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY KENNINGTON, PH.D.",
        "enumeration_date": "2008-04-02",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "KENNINGTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "713-201-8791",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "86830A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1275628810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. LABOR & INDUST.",
            "identifier": "211288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.