Tiana Samone Kennedy, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401012015 Issued in MI

Practice address

2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669

Phone

(616) 236-3600

NPI assigned

Jul 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Resilience Therapy LLC

  • Social Worker
  • Grand Rapids, MI
  • NPI 1184225575
  Medicare reassignment NPD
• New Chapters Counseling Services, PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1730706292
  NPD

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1881908226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "773-352-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-236-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11260 E Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143320",
            "country_code": "US",
            "telephone_number": "313-749-0148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27155 Cherry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Inkster",
            "state": "MI",
            "postal_code": "481411204",
            "country_code": "US",
            "telephone_number": "313-749-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TIANA",
        "middle_name": "SAMONE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012015",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Christine Kennedy
• Anna Rose Kennedy I, N/A
• Brenna Kennedy
• Dana Rose Kennedy
• Karen Marshelia Kennedy, MD
• Benjamin Adam Kennert, LP, LBA
• Mackenzie Justine Kenneson, MD
• Kenneth Ford, LLC
• Kenneth H Markiewicz DO PC
• Kenneth W Post MD PLC

• Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.