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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Mary Panahi Kennedy Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 13 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
## Record status
- **NPPES last updated:** September 6, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1043461007) · Data from the CMS NPPES public registry.