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KENNE WILLIAM KENNEMER MFT
NPI 1114121621
Marriage & Family Therapist in Santa Rosa, CA

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
2403 PROFESSIONAL DR, SUITE 101, SANTA ROSA, CA 95403(707) 544-3295(707) 544-9011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenne William Kennemer Mft NPPES

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

KENNE WILLIAM KENNEMER MFT (NPI 1114121621) is an individual marriage & family therapist in Santa Rosa, California and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1114121621
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKENNE WILLIAM KENNEMERCredential: MFT
Location Address2403 PROFESSIONAL DR, SUITE 101Santa Rosa, CA 95403-3007
Mailing Address2403 Professional Dr, Suite 101Santa Rosa, CA 95403-3007 · (707) 544-3295 · Fax (707) 544-9011
Phone(707) 544-3295
Fax(707) 544-9011
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114121621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2403 PROFESSIONAL DR, Santa Rosa, CA 95403
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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

Kenne William Kennemer Mft 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 ID7517495153
PECOS Enrollment IDI20250110001373
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.

JESSICA LYNN ALLEN RAS #M0605161317
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR, SUITE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
KAI MARTIN DENIS CADC 1
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
BROOKE LANE NICHOLS
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
ATHENA KOSTICK
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
RAFAEL J ZARAGOZA
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
DELANEY DAVIDGE
Specialist/Technologist, Other
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
DRUG ABUSE ALTERNATIVES CENTER
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
DRUG ABUSE ALTERNATIVES CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
2403 PROFESSIONAL DR, SUITE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295

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 Kenne Kennemer's NPI number?

The NPI number for Kenne Kennemer is 1114121621. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Kenne Kennemer located?

Kenne Kennemer practices at 2403 Professional Dr Suite 101, Santa Rosa, CA 95403. The listed phone number is (707) 544-3295.

What is Kenne Kennemer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kenne Kennemer enrolled in Medicare?

Yes. Kenne Kennemer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenne Kennemer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.