Active NPI
Melissa Dawn Kenney, M.A., L.M.H.P.
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1992840870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2904
- Practice address
- 5539 S 27TH St
Ste 206
Lincoln, NE 68512-1611 - Phone
- (402) 423-3600
- Fax
- (402) 423-3690
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2904 | NE | Primary |
Addresses
Primary practice location
5539 S 27TH St
Ste 206
Lincoln, NE 68512-1611
Mailing address
811 N. 55TH St
Lincoln, NE 68504
Phone (402) 601-2617
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2904 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992840870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 N. 55TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68504",
"telephone_number": "402-601-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 S 27TH ST",
"address_2": "STE 206",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121611",
"telephone_number": "402-423-3600",
"fax_number": "402-423-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "MELISSA",
"middle_name": "DAWN",
"credential": "M.A., L.M.H.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.