AMY KENNEDY CRC, LPC INTERN
NPI 1205311180
Counselor - Mental Health in Portland, OR
About Amy Kennedy Crc, Lpc Intern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY KENNEDY CRC, LPC INTERN (NPI 1205311180) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R5448) and active in the NPI registry since September 2018. She has opted out of Medicare through December 29, 2026.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Amy Kennedy Crc, Lpc Intern has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2024 through December 29, 2026.
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 Amy Kennedy's NPI number?
The NPI number for Amy Kennedy is 1205311180. It was assigned to this individual provider in the NPPES registry on September 26, 2018.
Where is Amy Kennedy located?
Amy Kennedy practices at 1020 SW Taylor St Ste 366, Portland, OR 97205. The listed phone number is (503) 908-5505.
What is Amy Kennedy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Amy Kennedy enrolled in Medicare?
No. Amy Kennedy has opted out of Medicare through December 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Amy Kennedy accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amy Kennedy 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 Amy Kennedy was last updated on September 26, 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.
# Amy Kennedy, CRC, LPC INTERN · NPI 1205311180
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 26, 2018.
## Identity
- **NPI:** 1205311180 (Entity type: Individual)
- **Enumerated:** September 26, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** R5448 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1020 SW TAYLOR ST STE 366, Portland, OR 97205-2508
- **Phone:** (503) 908-5505
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 29, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** September 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205311180) · Data from the CMS NPPES public registry.