Jennifer Christine Kennelly, LMHC, CDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60677021 Issued in WA

Practice address

1600 E Olive St
Seattle, WA 98122-2735

Phone

(206) 302-2316

Fax

(206) 302-2770

NPI assigned

Dec 17, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1912328089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 118TH AVE SE APT C109",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053884",
            "telephone_number": "360-865-4671",
            "fax_number": "425-491-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-302-2316",
            "fax_number": "206-302-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "credential": "LMHC, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60677021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Marie Kennedy, LMP
• Simran Kennedy, CRNA
• Stephen Alan Kennedy, M.D., FRCSC
• Winter Kennedy, LMP
• Nathan Paul Kennel, D.P.T.
• Miriam Kennelly, MD
• Carrie Kenner, CD(DONA)
• Tess Kenner
• Kenneth N. Asher, PH.D., P.S.
• Lauren Elizabeth Kenney-Crowell, ARNP

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.