Candace Gail Kennemer, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77980 Issued in TX

Practice address

4400 Buffalo Gap Rd Ste 2550a
Abilene, TX 79606-2723

Phone

(325) 668-9609

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Kennemer Counseling PLLC

  • Mental Health Counselor
  • Abilene, TX
  • NPI 1619518347
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1881152551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BUFFALO GAP RD STE 3850",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062729",
            "telephone_number": "325-668-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BUFFALO GAP RD STE 2550A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062723",
            "telephone_number": "325-668-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEMER",
        "first_name": "CANDACE",
        "middle_name": "GAIL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396643401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Kendrick, M.D.
• Kenmar Residential Services, Incorporated
• Amber Marie Kennedy, LPC
• Bryce Hoffman Kennedy
• Kennemer Counseling PLLC
• Kenneth Hart Care Facility
• Kenneth Hart Care Facility
• Kenneth Wesley Hart
• Kathy Ann Kent, R.N.
• Destiny Kerbow

• Mental Health Counselor in Abilene, TX
• Providers in Abilene, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.