Active NPI
Kelly Deon Kenney
- Professional Counselor
- Coeur D Alene, ID
National Provider Identifier
1861323933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8381112
- Practice address
- 1110 W Park PL Ste 202
Coeur D Alene, ID 83814-2783 - Phone
- (208) 244-0120
- NPI assigned
- May 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8381112 | ID | Primary |
Addresses
Primary practice location
1110 W Park PL Ste 202
Coeur D Alene, ID 83814-2783
Mailing address
1110 W Park PL Ste 202
Coeur D Alene, ID 83814-2783
Phone (208) 244-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8381112 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1861323933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 W PARK PL STE 202",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142783",
"telephone_number": "208-244-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W PARK PL STE 202",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142783",
"telephone_number": "208-244-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "KELLY",
"middle_name": "DEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "8381112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.