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KAELYN MARIE KENNEDY
NPI 1104511609
Counselor - Professional in San Diego, CA

Active since April 10, 2023
3033 FIFTH AVE STE 230, SAN DIEGO, CA 92103(760) 374-4295 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Mar 18, 2025, Apr 10, 2023 (3 updates tracked since 2023).

About Kaelyn Marie Kennedy NPPES

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

KAELYN MARIE KENNEDY (NPI 1104511609) is an individual professional provider in San Diego, California, licensed in California (LPCC16582) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1104511609
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAELYN MARIE KENNEDY
Location Address3033 FIFTH AVE STE 230San Diego, CA 92103-5873
Mailing Address3033 Fifth Ave Ste 230San Diego, CA 92103-5873 · (509) 951-2783
Phone(760) 374-4295
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1104511609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC16582
3033 FIFTH AVE STE 230, San Diego, CA 92103
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Other Providers at the Same Location NPPES 7

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

CANVAS OF POSSIBILITIES PSYCHOLOGICAL SERVICES INC.
Clinic/Center (Adult Mental Health)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (858) 805-5302
CAITLIN MORONEY
Psychologist
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (619) 821-9530
JESSICA M WILSON
Counselor (Mental Health)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (971) 808-4117
KAELYN MARIE LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (323) 628-8452
ALYSSA HUSTWICK
Psychologist (Clinical)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (619) 953-7484
CONNECT PSYCHOLOGY INC
Psychologist (Clinical)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (530) 400-7973
DR. KAYLA BEARD
Psychologist
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (619) 746-8686

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 Kaelyn Kennedy's NPI number?

The NPI number for Kaelyn Kennedy is 1104511609. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Kaelyn Kennedy located?

Kaelyn Kennedy practices at 3033 Fifth Ave Ste 230, San Diego, CA 92103. The listed phone number is (760) 374-4295.

What is Kaelyn Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kaelyn Kennedy was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.