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LARRY KENNEDY CRM
NPI 1205694296
Peer Specialist in Bend, OR

Active since March 13, 2024
389 SW SCALEHOUSE CT STE 130, BEND, OR 97702(541) 306-4446(541) 550-2011 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry Kennedy Crm NPPES

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

LARRY KENNEDY CRM (NPI 1205694296) is an individual peer specialist in Bend, Oregon, licensed in Oregon (24-CRM-2944) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1205694296
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLARRY KENNEDYCredential: CRM
Location Address389 SW SCALEHOUSE CT STE 130Bend, OR 97702-3241
Mailing Address389 Sw Scalehouse Ct Ste 130Bend, OR 97702-3241 · (541) 306-4446 · Fax (541) 550-2011
Phone(541) 306-4446
Fax(541) 550-2011
Sole ProprietorNo
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1205694296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 24-CRM-2944
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
389 SW SCALEHOUSE CT STE 130, Bend, OR 97702
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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.

GABRIELLE WARD
Counselor (Addiction (Substance Use Disorder))
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 923-2654
DAKOTA J. TITTLE CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446
KRISTI L SCHAFFNER CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446
SHERRY L EMMINGER CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446
JAMES CHRISTOPHER CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446
BRANDON WILL CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446
MISS LEANDRA MARIE BITGOOD CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446
CHRISTINE E. WITHAM CRM
Peer Specialist
389 SW SCALEHOUSE CT STE 130
BEND, OR 97702
Deschutes County (541) 306-4446

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 Larry Kennedy's NPI number?

The NPI number for Larry Kennedy is 1205694296. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Larry Kennedy located?

Larry Kennedy practices at 389 SW Scalehouse Ct Ste 130, Bend, OR 97702. The listed phone number is (541) 306-4446.

What is Larry Kennedy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Larry Kennedy was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.