Kristen Kennedy, MA, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4265 Grand Haven Rd Ste 106
Norton Shores, MI 49441-5546

Phone

(616) 638-4078

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kris Kennedy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Awaken Mind & Body

  • Mental Health Counselor
  • Grand Haven, MI
  • NPI 1861110207
  NPD Authorized official
• County of Ottawa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holland, MI
  • NPI 1619932381
  NPD
• County of Ottawa

  • Non-Surgical Family Planning Clinic/Center
  • Holland, MI
  • NPI 1679653422
  NPD
• Ottawa County CMH

  • Community/Behavioral Health Agency
  • Grand Haven, MI
  • NPI 1346329570
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1902391733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 S SANDALWOOD CIR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415998",
            "telephone_number": "616-638-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 GRAND HAVEN RD STE 106",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415546",
            "telephone_number": "616-638-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KRISTEN",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "KENNEDY",
            "credential": "MA, LPC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Lister LMSW PLLC
• Brian Keenoy, DPT
• Michael Keller
• Brenna Shawn Kelley, CPM
• Rebecca Lynn Kelly, PT, DPT
• Kimberlee K Erickson-Worpel Ma,LLP
• Trisha King, LMSW
• Mellanie Knox
• Lindsay Koberna, AU.D.
• Ashley Kooistra, DPT

• Counselor in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.