Individual provider Active NPI

Elaine Kennedy, MS

  • Mental Health Counselor
  • Suitland, MD
National Provider Identifier
1972208130
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5211 Auth Rd
Suitland, MD 20746-4339
Phone
(202) 257-6632
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

5211 Auth Rd
Suitland, MD 20746-4339

Mailing address

9305 Frensham CT
Laurel, MD 20708-2856
Phone (410) 807-1300

Other practice location 1

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone (301) 960-7884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hope 4 You, LLC CurrentSince Aug 13, 2023 Accepting new patients
Hope 4 You, LLC PastSince Aug 1, 2023 Accepting new patients

Locations

5211 Auth Rd
Suitland, MD 20746
Phone (202) 257-6632

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1972208130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 FRENSHAM CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082856",
            "telephone_number": "410-807-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 AUTH RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464339",
            "telephone_number": "202-257-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8115 Maple Lawn Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MD",
            "postal_code": "207592683",
            "country_code": "US",
            "telephone_number": "301-960-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ELAINE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.