MR. KENNETH TANNEHILL LPC
NPI 1063420693
Counselor - Mental Health in Huntsville, AL

Q: What is Kenneth Tannehill's NPI number?

The NPI number for Kenneth Tannehill is 1063420693. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Kenneth Tannehill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Tannehill was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment

4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802(256) 533-1970(256) 705-6477 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

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About Mr. Kenneth Tannehill Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH TANNEHILL LPC (NPI 1063420693) is an individual mental health provider in Huntsville, Alabama and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1063420693

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. KENNETH TANNEHILLCredential: LPC

Location Address4040 MEMORIAL PKWY SWHuntsville, AL 35802-4364

Mailing Address4040 Memorial Pkwy SwHuntsville, AL 35802-4364 · (256) 533-1970 · Fax (256) 532-4112

Phone(256) 533-1970

Fax(256) 705-6477

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1063420693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4040 MEMORIAL PKWY SW, Huntsville, AL 35802

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Other Identifiers 1

Medicaid330000014AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth Tannehill Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224552989

PECOS Enrollment IDI20250403003299

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY DIXON RN

Registered Nurse