Katherine E Kennedy, CSW, MS, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1712-226 Issued in WI

Practice address

9433 County Rd J
Minocqua, WI 54548-9318

Phone

(715) 356-5377

Fax

(715) 356-5378

NPI assigned

Mar 7, 2013

Last updated

Mar 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1871834374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 COUNTY RD J",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489318",
            "telephone_number": "715-356-5377",
            "fax_number": "715-356-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 COUNTY RD J",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489318",
            "telephone_number": "715-356-5377",
            "fax_number": "715-356-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "CSW, MS, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16533-130",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "9677-120",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1712-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baruch E Kahana, MD
• Deno N. Karegeannes, PA-C
• Joan Kazda, NP
• Peter Thomas Keenan, PSY.D.
• Mary Jane Keller, OTR CHT
• Kasey Jo Kiesler, NP
• Young S Kim, DO
• Bryan Francis Klister
• Michael H. Knautz, M.D.
• Amy M. Koelling, PA

• Professional Counselor in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.