MR. KYLE MATTHEW KENNEDY LPC
NPI 1255082772
Counselor - Professional in Juneau, AK
About Mr. Kyle Matthew Kennedy Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KYLE MATTHEW KENNEDY LPC (NPI 1255082772) is an individual professional provider in Juneau, Alaska, licensed in Alaska (219896) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kyle Matthew Kennedy Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Juneau, AK 99801
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Southeast Alaska Regional Health Consortium
- 640 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JUNEAU, AK 99801
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 Kyle Kennedy's NPI number?
The NPI number for Kyle Kennedy is 1255082772. It was assigned to this individual provider in the NPPES registry on January 17, 2022.
Where is Kyle Kennedy located?
Kyle Kennedy practices at 3051 Vintage Blvd Ste 200, Juneau, AK 99801. The listed phone number is (907) 364-4445.
What is Kyle Kennedy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kyle Kennedy enrolled in Medicare?
Yes. Kyle Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kyle Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kennedy reassigns Medicare benefits to Southeast Alaska Regional Health Constortium (Juneau, AK). 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 Kyle Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Kennedy accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kyle 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 Kyle Kennedy was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Kyle Matthew Kennedy, LPC · NPI 1255082772
Professional provider in Juneau, Alaska. Individual provider, active in the CMS NPPES registry since January 17, 2022.
## Identity
- **NPI:** 1255082772 (Entity type: Individual)
- **Enumerated:** January 17, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 219896 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 3051 VINTAGE BLVD, STE 200, Juneau, AK 99801
- **Phone:** (907) 364-4445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southeast Alaska Regional Health Constortium (NPI 1154050490, Juneau, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 19, 2025
- **Other identifiers:** Medicaid 1736303 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1255082772) · Data from the CMS NPPES public registry.