Kennedy Addiction Recovery Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

KENNEDY ADDICTION RECOVERY CENTER, LLC

Practice address

5006 E Trindle Rd Ste 200
Mechanicsburg, PA 17050-3647

Phone

(410) 961-6854

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Tim Weber

Title

Authorized Official

Phone

(717) 790-2856

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kristen Kennedy

  • Professional Counselor
  • Mechanicsburg, PA
  • NPI 1316411192
  NPD (past)
• Amanda P Boyer, LMHC, LPC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1578127130
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1841760865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 E TRINDLE RD STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 E TRINDLE RD STE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503647",
            "telephone_number": "410-961-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY ADDICTION RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-790-2856"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Keim
• Keith P Fisher DDS LLC
• Kelly L. Rice,
• Kelly L. Rice, Sovia Therapy
• Jacob Thomas Kemmerer, PA-C
• Kristen Kennedy
• William Kennedy
• Kenneth Baker D.C. LLC
• Bridget Kenney
• Jordan Kent, MSW

• Substance Use Disorder Rehabilitation Clinic/Center in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.