Active NPI
Rakiah Lashae Kennedy, BA PSYCHOLOGY
- Counselor
- San Francisco, CA
National Provider Identifier
1891214862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1426 Fillmore St Ste 204
San Francisco, CA 94115-4164 - Phone
- (415) 563-8017
- NPI assigned
- Sep 11, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1426 Fillmore St Ste 204
San Francisco, CA 94115-4164
Mailing address
1426 Fillmore St Ste 216
San Francisco, CA 94115-4164
Phone (415) 963-4149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | CA |
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Services YMCA | Past | Accepting new patients | |
| Young Men's Christian Association of San Francisco | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1285970921
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1366512493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1891214862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 FILLMORE ST STE 216",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154164",
"telephone_number": "415-963-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 FILLMORE ST STE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154164",
"telephone_number": "415-563-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "RAKIAH",
"middle_name": "LASHAE",
"name_prefix": "Ms.",
"credential": "BA PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.