MRS. CAROLYN KENNEDY ANDERSON (NPI# 1417279316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417279316 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN KENNEDY ANDERSON |
| Credential | LPC |
| Practice Address |
6138 E Nevada St Detroit MI 48234-2610 |
| Practice Telephone | 3136575315 |
| Practice Fax Number | 3133692050 |
| Mailing Telephone | 3136575315 |
| Mailing Fax Number | 3133692050 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401004002 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932503463 | Carolyn R Anderson | Occupational Therapist | 18504 Bothell Pay Ne, Bothell, WA 98011 | 2014-10-13 |
| 1467899930 | Carolyn Anderson | Social Worker | 2609 S 10th Ave, Caldwell, ID 83605 | 2013-05-24 |
| 1114294410 | Carolyn Jeanne Anderson | Occupational Therapist | 175 Route 32 N, Ulster County Boces, New Paltz, NY 12561-1029 | 2011-11-30 |
| 1295983732 | Carolyn Anderson | Licensed Practical Nurse | 105 Halsey Ave, Hicksville, NY 11801-4826 | 2008-09-08 |
| 1063639367 | Carolyn Sue Anderson | Massage Therapist | 8243 Knute Ln Nw, Silverdale, WA 98383-8512 | 2007-04-19 |
| 1154814903 | Carolyn Anderson | Occupational Therapist | 3990 John R St, Detroit, MI 48201-2018 | 2018-06-07 |
| 1962950071 | Carolyn M Anderson | Pharmacist | 3558 Main St, Weirton, WV 26062-4508 | 2016-09-17 |
| 1518314194 | Carolyn Anderson | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2016-05-24 |
| 1619324100 | Carolyn Sue Anderson | General Practice | 3133 E Lemmon Ave, Dallas, TX 75204-1411 | 2016-05-16 |
| 1952705394 | Carolyn J Anderson | Counselor | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2014-10-14 |
| Street Address |
6138 E NEVADA ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
| 1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
| 1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
| 1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
| 1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
| 1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MRS. CAROLYN KENNEDY ANDERSON.
| 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.