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LIBERTY KENYON LMHC
NPI 1164668034
Counselor - Mental Health in Cumberland, RI

Active since December 26, 2008PECOS Enrolled
190 CROSSING DR APT 303, CUMBERLAND, RI 02864(401) 935-7265 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2025, Nov 11, 2022 (2 updates tracked since 2022).

About Liberty Kenyon Lmhc NPPES

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

LIBERTY KENYON LMHC (NPI 1164668034) is an individual mental health provider in Cumberland, Rhode Island, licensed in Rhode Island (MHC00390) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164668034
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLIBERTY KENYONCredential: LMHC
Location Address190 CROSSING DR APT 303Cumberland, RI 02864-4375
Mailing Address246 Middle StPawtucket, RI 02860-1031 · (401) 338-3404
Phone(401) 935-7265
Sole ProprietorNo
Enumeration DateDecember 26, 2008
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1164668034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · MHC00390
190 CROSSING DR APT 303, Cumberland, RI 02864
Open in Google Maps ↗

Other Identifiers 1

MedicaidGH57134RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Kenyon Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Liberty Kenyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bella Mente Counseling, LLC
5.7 mi
Social Worker
154 MAIN ST
Woonsocket, RI 02895
  • Reassigned Medicare billing, Rhode Island enrollment
  • 8 clinicians in this Medicare group
NPI 1992200547 (508) 373-4074

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 Liberty Kenyon's NPI number?

The NPI number for Liberty Kenyon is 1164668034. It was assigned to this individual provider in the NPPES registry on December 26, 2008.

Where is Liberty Kenyon located?

Liberty Kenyon practices at 190 Crossing Dr Apt 303, Cumberland, RI 02864. The listed phone number is (401) 935-7265.

What is Liberty Kenyon's specialty?

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

Is Liberty Kenyon enrolled in Medicare?

Yes. Liberty Kenyon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Liberty Kenyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liberty Kenyon reassigns Medicare benefits to Bella Mente Counseling, LLC (Woonsocket, RI). 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 Liberty Kenyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liberty Kenyon accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Liberty Kenyon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Kenyon was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.