MS. MARY PANAHI KENNEDY MA
NPI 1043461007
Counselor - Mental Health in Anaheim, CA
About Ms. Mary Panahi Kennedy Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY PANAHI KENNEDY MA (NPI 1043461007) is an individual mental health provider in Anaheim, California and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Mary Panahi Kennedy Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Kennedy's NPI number?
The NPI number for Mary Kennedy is 1043461007. It was assigned to this individual provider in the NPPES registry on October 8, 2008.
Where is Mary Kennedy located?
Mary Kennedy practices at 501 N Brookhurst St #320, Anaheim, CA 92801. The listed phone number is (714) 490-7711.
What is Mary Kennedy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Kennedy enrolled in Medicare?
Yes. Mary Kennedy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kennedy reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Kennedy was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Mary Panahi Kennedy, MA · NPI 1043461007
Mental Health provider in Anaheim, California. Individual provider, active in the CMS NPPES registry since October 8, 2008.
## Identity
- **NPI:** 1043461007 (Entity type: Individual)
- **Enumerated:** October 8, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 501 N BROOKHURST ST, #320, Anaheim, CA 92801-5226
- **Phone:** (714) 490-7711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1043461007) · Data from the CMS NPPES public registry.