Jenna Kennedy, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pender, NE
NPI 1972048759 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1972048759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1343 (NE)
- Practice address
- 510 Norris Ave
Pender, NE 68047-5033 - Phone
- (402) 922-2130
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1343 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| P-1457 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Therapy Services, LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1457 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1343 | NE | Yes |
Addresses
Primary practice location
510 Norris Ave
Pender, NE 68047-5033
Mailing address
510 Norris Ave
Pender, NE 68047-5033
Phone (402) 922-2130
Other providers in Pender, NE
- David J. Hoelting
- Joslynn Jewell
- Karissa Lynn Johnson
- Shannan M Johnson
- Kennedy Therapy Services, LLC
- Quinn M. Kneifl
- Anna M Krusemark
- Mercy Medical Services
- Chelsea Lyn Moore
- Jeff L. Munderloh
All providers in Pender, NE · Addiction (Substance Use Disorder) Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.