MARY KENNEDY (NPI# 1174732259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174732259 |
| Entity Type | Individual |
| Full Name | MARY KENNEDY |
| Practice Address |
5120 Hwy 54 Ne Guymon OK 73942 |
| Mailing Address |
1222 10th St Ste 211 Woodward OK 73801-3156 |
| Practice Telephone | 5803385851 |
| Practice Fax Number | 5803386022 |
| Mailing Telephone | 5803385851 |
| Mailing Fax Number | 5803386022 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336418169 | Mary Katherine Kennedy | Developmental Therapist | 10727 Burr Oak Way, Burke, VA 22015-2414 | 2011-12-22 |
| 1568635738 | Mary A Kennedy | Speech-Language Pathologist | 1801 Alfresco Pl, Louisville, KY 40205-1807 | 2008-04-09 |
| 1518095660 | Mary S. Kennedy | Social Worker | 16 Fayette St, Cambridge, MA 02139-1112 | 2007-03-01 |
| 1053455568 | Mary Kathleen Kennedy | Speech-Language Pathologist | 1613 Ginger Dr, Hideaway, TX 75771-5311 | 2007-02-16 |
| 1578656716 | Mary Kennedy | Nurse Practitioner | 105 E Hack St, Cullom, IL 60929 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| 1992750517 | Mary Kay Kennedy | Social Worker | 363 South Harlan Street, Suite 200, Denver, CO 80226-3552 | 2006-05-23 |
| 1972563757 | Mary M Kennedy | Social Worker | 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104-3250 | 2006-03-24 |
| 1861479636 | Mary Theresa Kennedy | Psychologist | 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 | 2005-12-22 |
| 1518471226 | Mary Kennedy | Counselor | 1010 Remington Plz, Raymore, MO 64083-8640 | 2017-11-17 |
| Street Address |
5120 HWY 54 NE |
| City | GUYMON |
| State | OK |
| Zip Code | 73942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245449339 | Judy Clemans | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| 1396098059 | Marlene A Brown | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942-1247 | 2012-10-18 |
| 1366793747 | Donna R Julian | Social Worker | 5120 Hwy 54 Ne, Guymon, OK 73942-1247 | 2012-09-26 |
| 1558536458 | Isabel Makwangwala | Counselor | 5120 Hwy 54 Ne, Northwest Center for Behavioral Health, Guymon, OK 73942 | 2008-04-23 |
| 1003080250 | Charlotte Shrock | Counselor | 5120 Hwy 54 Ne, Northwest Center for Behavioral Health, Guymon, OK 73942 | 2008-04-18 |
| 1437360286 | Staci Barker | Counselor | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-24 |
| 1013127620 | Dolores Swart | Counselor | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-23 |
| 1780893875 | William Meads | Counselor | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824219 | Joni R Loughridge | Behavior Technician | 1521 Hwy 54 N, 1521 Hwy 54 N, Guymon, OK 73942 | 2019-04-10 |
| 1457839151 | Cassandra J Hegwood | Social Worker | 1521 Hwy 54 N., Guymon, OK 73942 | 2018-08-03 |
| 1083152110 | Charlie A Bell | Counselor | 1521 Highway 54 N., P.o. 1247, Guymon, OK 73942 | 2017-02-09 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1295088961 | Steven Macias | Counselor | 305 Nw 5th, Guymon, OK 73942 | 2012-10-18 |
| 1588982946 | Maria R. Reyes | Counselor | 306 N.w. 5th St., Guymon, OK 73942 | 2010-05-11 |
| 1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 1992828776 | United Discount Drug of Guymon, Inc. | Durable Medical Equipment & Medical Supplies | 1902 N. Academy Street, Guymon, OK 73942 | 2007-04-09 |
| 1164541900 | Internal Medicine Clinic Pllc | Internal Medicine | 410 Ne 12th Street, Guymon, OK 73942 | 2007-03-29 |
| Find all providers in zip 73942 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912415514 | Jessica Brianne Stedje | Counselor | 3247 Ne Highway 54, Guymon, OK 73942-5143 | 2018-01-17 |
| 1558767475 | Destyni Nicole Trayler | Counselor | 216 Nw 4th St, Guymon, OK 73942-4709 | 2014-11-05 |
| 1558536458 | Isabel Makwangwala | Counselor | 5120 Hwy 54 Ne, Northwest Center for Behavioral Health, Guymon, OK 73942 | 2008-04-23 |
| 1003080250 | Charlotte Shrock | Counselor | 5120 Hwy 54 Ne, Northwest Center for Behavioral Health, Guymon, OK 73942 | 2008-04-18 |
| 1437360286 | Staci Barker | Counselor | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-24 |
| 1013127620 | Dolores Swart | Counselor | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-23 |
| 1780893875 | William Meads | Counselor | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.