MR. BRIAN ERIC KENNEDY (NPI# 1255665030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255665030 |
Entity Type | Individual |
Full Name | MR. BRIAN ERIC KENNEDY |
Credential | LPC |
Practice Address |
2525 Wallingwood Dr Ste 1-201 Austin TX 78746-6900 |
Mailing Address |
301 Brazos St Unit 811 Austin TX 78701-4623 |
Practice Telephone | 5124453494 |
Mailing Telephone | 5129658586 |
Enumeration Date | 2009-09-25 |
Last Update Date | 2020-07-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE BOARD LICENSE | 63604 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
123 Ed Schmidt Blvd Ste 140, Hutto, TX 786345586 | 8778005722 | 5128462072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376152991 | Brian Joseph Kennedy | Dentist | 1900 W Chandler Blvd Ste 22, Chandler, AZ 85224-6175 | 2020-07-29 |
1952958837 | Brian Kennedy | Student in an Organized Health Care Education/Training Program | 15231 N 62nd Dr, Glendale, AZ 85306-3288 | 2019-08-24 |
1982053112 | Brian Kennedy | Student in an Organized Health Care Education/Training Program | 19998 Shadow Creek Ct, Ashburn, VA 20147 | 2016-06-08 |
1588025134 | Brian Kennedy | Specialist/Technologist | 576 Hawthorne Woods Dr, Eagan, MN 55123-3059 | 2016-03-10 |
1679858823 | Brian Joseph Kennedy | Rehabilitation Practitioner | 825 Sierra Vista Dr, Apt #225, Las Vegas, NV 89169-9384 | 2011-10-19 |
1639216195 | Brian Thomas Kennedy | Dentist | 275 Pawling Ave, Troy, NY 12180-4800 | 2007-01-31 |
1043367790 | Brian Curtis Kennedy | Marriage & Family Therapist | 1800 Cooper Point Rd Sw Ste 18b, Olympia, WA 98502-1179 | 2007-01-04 |
1700975307 | Brian Patrick Kennedy | Massage Therapist | 3320 West Mcgraw St, #4, Seattle, WA 98199 | 2006-10-12 |
1952807562 | Brian Kennedy | Counselor | 2670 Yorktown Blvd, Unit 32, Brick, NJ 08723 | 2018-04-03 |
1851892269 | Brian Craig Kennedy | Physician Assistant | 8 Loudon Rd, Concord, NH 03301-5300 | 2018-02-22 |
Street Address |
2525 WALLINGWOOD DR STE 1-201 |
City | AUSTIN |
State | TX |
Zip Code | 78746-6900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
Find all providers in zip 78746 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
Find all providers in AUSTIN |
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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.