Individual provider Active NPI

Kimberly Kennedy, L.P.C.

  • Mental Health Counselor
  • Cambridge, OH
National Provider Identifier
1942716170
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
317 Highland Ave
Cambridge, OH 43725-2529
Phone
(740) 435-9766
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

317 Highland Ave
Cambridge, OH 43725-2529

Mailing address

317 Highland Ave
Cambridge, OH 43725-2529
Phone (740) 435-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240426001448 OH Practitioner - Mental Health Counselor 3476993262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Ohio Behavioral Health LLCGroup PAC ID 7214212695, 19 clinicians

Practice addresses (Care Compare)

1515 E Broad St
Columbus, OH 43205-1550
Phone (740) 569-5737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Behavioral Health LLC Mental Health CurrentSince Jan 28, 2024 Accepting new patients
Cambridge Counseling Center, Inc. PastSince Jan 30, 2025 Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

2112 Cherry Valley Rd
Newark, OH 43055
Phone (740) 522-3774

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cambridgecounselingcenter/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1942716170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252529",
            "telephone_number": "740-435-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252529",
            "telephone_number": "740-435-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KIMBERLY",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.