MS. TAYLOR CHARISSE KENNERLY LGPC
NPI 1164165056
Counselor - Mental Health in Beltsville, MD
About Ms. Taylor Charisse Kennerly Lgpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TAYLOR CHARISSE KENNERLY LGPC (NPI 1164165056) is an individual mental health provider in Beltsville, Maryland, licensed in Maryland (LGP11841) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
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. Taylor Charisse Kennerly Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taylor Kennerly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 3 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.
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 Taylor Kennerly's NPI number?
The NPI number for Taylor Kennerly is 1164165056. It was assigned to this individual provider in the NPPES registry on April 18, 2022.
Where is Taylor Kennerly located?
Taylor Kennerly practices at 11242 Cherry Hill Rd, Beltsville, MD 20705. The listed phone number is (203) 216-4252.
What is Taylor Kennerly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Taylor Kennerly enrolled in Medicare?
Yes. Taylor Kennerly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taylor Kennerly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Kennerly reassigns Medicare benefits to Be-Live-It Therapy (Glen Burnie, MD). 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 Taylor Kennerly'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 Taylor Kennerly was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Taylor Charisse Kennerly, LGPC · NPI 1164165056
Mental Health provider in Beltsville, Maryland. Individual provider, active in the CMS NPPES registry since April 18, 2022.
## Identity
- **NPI:** 1164165056 (Entity type: Individual)
- **Enumerated:** April 18, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LGP11841 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11242 CHERRY HILL RD, Beltsville, MD 20705-3846
- **Phone:** (203) 216-4252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Be-Live-It Therapy (NPI 1699133538, Glen Burnie, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1164165056) · Data from the CMS NPPES public registry.