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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401005178 | MI | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1943 Holland Ave, Port Huron, MI 480601519 | 8109660099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356726897 | Thomas Kennedy | Counselor | 3135 Euclid Ave Ste 103, Cleveland, OH 44115-2524 | 2015-07-27 |
1699892281 | Thomas Michael Kennedy | Dentist | 1261 Clifty Hollow Rd, Madison, IN 47250-3049 | 2007-03-26 |
1891748554 | Thomas Joseph Kennedy | Obstetrics & Gynecology | 4428 Houma Blvd, Ste 410, Metairie, LA 70006 | 2006-05-17 |
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 |
Street Address |
511 FORT ST RM 505 |
City | PORT HURON |
State | MI |
Zip Code | 48060-3936 |
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 |
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 |
Find all providers in zip 48060 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
City | PORT HURON |
Zip Code | 48060 |
Please comment or provide details below to improve the information on MR. THOMAS MICHAEL KENNEDY.
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.