Active NPI
Annette Kennedy Kellogg, MED, LPC, NCC, RPT/S
- Professional Counselor
- West Monroe, LA
National Provider Identifier
1881985372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3363
- Practice address
- 1699 Strozier Rd
West Monroe, LA 71291-8236 - Phone
- (318) 381-4111
- Fax
- (318) 396-1004
- NPI assigned
- May 2, 2011
- Last updated
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 3363 | LA | Primary |
Addresses
Primary practice location
1699 Strozier Rd
West Monroe, LA 71291-8236
Mailing address
1699 Strozier Rd
West Monroe, LA 71291-8236
Phone (318) 381-4111
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3363 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1881985372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 STROZIER RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712918236",
"telephone_number": "318-381-4111",
"fax_number": "318-396-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 STROZIER RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712918236",
"telephone_number": "318-381-4111",
"fax_number": "318-396-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOGG",
"first_name": "ANNETTE",
"middle_name": "KENNEDY",
"name_prefix": "Mrs.",
"credential": "MED, LPC, NCC, RPT/S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.