Individual provider Active NPI

Michael F Kenny, LCSW,LMFT

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1942478714
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001094A Issued in IN
Practice address
650 E Southport Rd Ste C
Indianapolis, IN 46227-8590
Phone
(317) 783-8383
Fax
(317) 782-6929
NPI assigned
Feb 14, 2008
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 34001094A IN
Clinical Social Worker 1041C0700X 34001094A IN Primary

Addresses

Primary practice location

650 E Southport Rd Ste C
Indianapolis, IN 46227-8590

Mailing address

1288 Eagle Crest Dr
Greenwood, IN 46143-8324
Phone (317) 300-0333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkenny12029@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20140130000838 IN Practitioner - Clinical Social Worker 3678702255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborating for Kids LLCGroup PAC ID 0547560542, 5 clinicians
Meridian Health Services CorpGroup PAC ID 5597679845, 78 clinicians

Practice addresses (Care Compare)

1701 Library Blvd
Suite a
Greenwood, IN 46142-1567
Phone (317) 881-9923

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

5230 E Stop 11 Rd
Suite 300
Indianapolis, IN 46237-6401
Phone (765) 288-1928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001094AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Nov 3, 2024 Accepting new patients
Collaborating for Kids, LLC Clinical CurrentSince Feb 19, 2016 Accepting new patients
Meridian Health Services Corp CurrentSince Nov 3, 2024 Accepting new patients
Outpatient Behavioral Health, St Francis Hospital Center PastSince Sep 5, 2023 Accepting new patients
St. Francis Hospital PastSince Sep 5, 2023 Accepting new patients

Locations

1180 S Liberty Dr
Ste 410
Bloomington, IN 47403
Phone (317) 881-9923

1701 Library Blvd
Ste A
Greenwood, IN 46142
Phone (317) 881-9923

5230 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 781-4588

240 N Tillotson Ave
Muncie, IN 47304

Interoperability endpoints

  • Direct secure messaging: michael.kenny.p1@direct.meridianhs.nextgenshare.com
  • Direct secure messaging: mkenny12029@direct.franciscanalliance.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1942478714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 EAGLE CREST DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438324",
            "telephone_number": "317-300-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E SOUTHPORT RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278590",
            "telephone_number": "317-783-8383",
            "fax_number": "317-782-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "LCSW,LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34001094A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001094A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkenny12029@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd Ste 350",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.