MS. NICOLE MARIE KENNEDY PH-MHC
NPI 1164913489
Counselor - Mental Health in Ogdensburg, NY

Active since May 22, 2018PECOS Enrolled
221 HAMILTON ST, OGDENSBURG, NY 13669(315) 541-3042 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nicole Marie Kennedy Ph-mhc NPPES

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

MS. NICOLE MARIE KENNEDY PH-MHC (NPI 1164913489) is an individual mental health provider in Ogdensburg, New York, licensed in New York (P09847) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164913489
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. NICOLE MARIE KENNEDYCredential: PH-MHC
Location Address221 HAMILTON STOgdensburg, NY 13669-1707
Mailing Address732 Ford StOgdensburg, NY 13669-1704 · (315) 393-3074 · Fax (315) 393-3083
Sole ProprietorNo
Enumeration DateMay 22, 2018
NPI 1164913489 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 NY · P09847
221 HAMILTON ST, Ogdensburg, NY 13669

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Nicole Marie Kennedy Ph-mhc 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.

Other Providers at the Same Location NPPES 13

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

Occupational Therapy Assistant
221 HAMILTON ST
OGDENSBURG, NY 13669
Social Worker
221 HAMILTON ST
OGDENSBURG, NY 13669
Registered Nurse (Psychiatric/Mental Health)
221 HAMILTON ST
OGDENSBURG, NY 13669
Nurse Practitioner (Psychiatric/Mental Health)
221 HAMILTON ST
OGDENSBURG, NY 13669
Registered Nurse (Psychiatric/Mental Health)
221 HAMILTON ST
OGDENSBURG, NY 13669
Registered Nurse
221 HAMILTON ST
OGDENSBURG, NY 13669
Dentist (General Practice)
221 HAMILTON ST
OGDENSBURG, NY 13669
Occupational Therapist
221 HAMILTON ST
OGDENSBURG, NY 13669

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 Nicole Kennedy's NPI number?

The NPI number for Nicole Kennedy is 1164913489. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Nicole Kennedy located?

Nicole Kennedy practices at 221 Hamilton St, Ogdensburg, NY 13669. The listed phone number is (315) 541-3042.

What is Nicole Kennedy's specialty?

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

Is Nicole Kennedy enrolled in Medicare?

Yes. Nicole Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Kennedy was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.