KENNEDY WILCOX
NPI 1235952672
Counselor - Mental Health in Wauwatosa, WI

Q: What is Kennedy Wilcox's NPI number?

The NPI number for Kennedy Wilcox is 1235952672. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Q: What is Kennedy Wilcox's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kennedy Wilcox was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 04, 2024

830 N 109TH ST STE 1, WAUWATOSA, WI 53226(414) 246-1448 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kennedy Wilcox NPPES

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

KENNEDY WILCOX (NPI 1235952672) is an individual mental health provider in Wauwatosa, Wisconsin, licensed in Wisconsin (8174-226) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1235952672

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKENNEDY WILCOX

Location Address830 N 109TH ST STE 1Wauwatosa, WI 53226-3754

Mailing Address9125 W Sura Ln Unit 303Greenfield, WI 53228-3495 · (414) 554-8443

Phone(414) 246-1448

Sole ProprietorNo

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 2, 2024

✔ NPI 1235952672 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 WI · 8174-226

830 N 109TH ST STE 1, Wauwatosa, WI 53226

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Other Providers at the Same Location NPPES 4

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

SHANNON WALOWSKI MSN, APNP, AGPCNP-BC

Nurse Practitioner

830 N 109TH ST STE 1
WAUWATOSA, WI 53226

Milwaukee County (414) 777-1811

LITTLE LIGHTHOUSE COUNSELING

Counselor (Professional)

830 N 109TH ST STE 1
WAUWATOSA, WI 53226

Milwaukee County (414) 215-0427

KATRINA BEARDMORE LPC

Counselor (Professional)

830 N 109TH ST STE 1
WAUWATOSA, WI 53226

Milwaukee County (608) 535-9453

MRS. DAWN HENKHAUS LPC

Counselor (Mental Health)

830 N 109TH ST STE 1
WAUWATOSA, WI 53226

Milwaukee County (262) 352-9533

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 Kennedy Wilcox's NPI number?

The NPI number for Kennedy Wilcox is 1235952672. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Kennedy Wilcox located?

Kennedy Wilcox practices at 830 N 109th St Ste 1, Wauwatosa, WI 53226. The listed phone number is (414) 246-1448.

What is Kennedy Wilcox's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Wilcox was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.