MR. THOMAS MICHAEL KENNEDY


Address: 511 Fort St Rm 505, Port Huron, MI 48060-3936
Phone: 8109660099

MR. THOMAS MICHAEL KENNEDY (NPI# 1326145681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326145681
Entity Type Individual
Full Name MR. THOMAS MICHAEL KENNEDY
Credential LPC
Practice Address 511 Fort St Rm 505
Port Huron
MI 48060-3936
Practice Telephone 8109660099
Practice Fax Number 8106967339
Mailing Telephone 8109660099
Mailing Fax Number 8106967339
Enumeration Date 2006-09-20
Last Update Date 2020-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6401005178 MI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1943 Holland Ave, Port Huron, MI 480601519 8109660099

Other Providers THOMAS KENNEDY

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1982196895 Thomas Kennedy Case Manager/Care Coordinator 125 E Main St, Barnesville, OH 43713-1005 2018-06-06
1396273173 Thomas Lynn Kennedy Jr. Student in an Organized Health Care Education/Training Program 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 2017-05-24
1689042749 Thomas Kennedy Behavioral Analyst 1836 Fremont St, Ashland, OR 97520-2537 2015-09-07
1184034175 Thomas Kennedy Student in an Organized Health Care Education/Training Program 506 6th St, Brooklyn, NY 11215-3609 2014-04-30
1518388990 Thomas Kennedy Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2014-01-02
1558615831 Thomas Robert Kennedy Pharmacist 230 N Wisconsin St, De Pere, WI 54115-2735 2012-11-07
1215295381 Thomas Michael Kennedy Pediatrics 1600 Rockland Rd, Wilmington, DE 19803 2012-04-26

Office Location

Street Address 511 FORT ST RM 505
City PORT HURON
State MI
Zip Code 48060-3936

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760980759 Miriam R May Counselor 511 Fort St Rm 505, Port Huron, MI 48060-3936 2018-01-25
1730410085 Gwenda Louise Young Counselor 511 Fort St Rm 505, Port Huron, MI 48060-3936 2010-01-27
1083878805 Jolene N Pemberton Social Worker 511 Fort St Rm 505, Port Huron, MI 48060-3936 2008-07-10
1174737159 Jayme Nicole Ledoux Social Worker 511 Fort St Rm 505, Port Huron, MI 48060-3936 2007-05-09
1154441905 Beverly Sharon Hull Psychologist 511 Fort St Rm 505, Port Huron, MI 48060 2007-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740897297 Casey Edward Bicker Behavior Technician 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 2020-09-29
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
1982123006 Kenneth Shine Heuvelman Counselor 3522 Holland Park Ln, Port Huron, MI 48060 2017-09-11
1346767506 Kelly Baker Social Worker 520 Superior St., Port Huron, MI 48060 2017-08-28
1326418609 Jean Burleigh Chore Provider 614 Staton, Port Huron, MI 48060 2015-09-30
1205242161 Lisa Gray Counselor 2885 W Rick Dr, Port Huron, MI 48060 2014-07-10
1861758880 Aaron Overly Surgery 2609 Electric Ave Ste B&, Port Huron, MI 48060 2012-04-03
1942591508 S Akram Ali Surgery 3270 Waldheim Dr, Port Huron, MI 48060 2011-04-29
1417258179 Nicholas Alexander Tobianski Physician Assistant 3550 Pine Grove Avenue, Port Huron, MI 48060 2010-11-11
1598092769 Blue Water Pharmacy LLC Pharmacy 1524 10th Street, Port Huron, MI 48060 2009-11-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386133809 Wow Therapy Counselor 805 Superior St Ste A, Port Huron, MI 48060-3771 2018-05-10
1124573993 Meredith Mills Counselor 3162 Armour St, Port Huron, MI 48060-2271 2016-08-22
1295882702 Lisa Marie Stoneberg Counselor 312 Superior Mall, Port Huron, MI 48060-3833 2007-01-05
1316563885 Damita Bracey Counselor 3415 28th St, Port Huron, MI 48060-6931 2020-06-22
1942771399 Amy Marie Simone-hunt Counselor 520 Superior St, Port Huron, MI 48060-3838 2018-12-11
1114408218 Tasha Behn Counselor 520 Superior St, Port Huron, MI 48060-3838 2018-08-27
1538667993 Kristen Patchel Counselor 520 Superior St, Port Huron, MI 48060-3838 2018-01-31
1760980759 Miriam R May Counselor 511 Fort St Rm 505, Port Huron, MI 48060-3936 2018-01-25
1235641572 Kaiytlin Elaine Rumenapp Counselor 520 Superior St, Port Huron, MI 48060-3838 2017-10-26
1003368408 Marilyn Dianne Wright-stewart Counselor 805 Superior St, Suite A, Port Huron, MI 48060-3771 2016-11-01
Find all providers in PORT HURON

Competitor

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City PORT HURON
Zip Code 48060

Improve Information

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Dataset Information

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.

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