MR. KYLE MATTHEW KENNEDY LPC
NPI 1255082772
Counselor - Professional in Juneau, AK

Active since January 17, 2022PECOS EnrolledAccepts Medicare Assignment
3051 VINTAGE BLVD, STE 200, JUNEAU, AK 99801(907) 364-4445 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2025, Jan 17, 2022 (2 updates tracked since 2022).

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

NPI1255082772
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KYLE MATTHEW KENNEDYCredential: LPC
Location Address3051 VINTAGE BLVD, STE 200Juneau, AK 99801
Mailing Address3100 Channel Dr Ste 300Juneau, AK 99801-7837 · (907) 463-4074
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 17, 2022
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1255082772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AK · 219896
3051 VINTAGE BLVD, Juneau, AK 99801

Other Identifiers 1

Medicaid1736303AK

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID4688114754
PECOS Enrollment IDI20240904003886
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 11

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

Physical Therapist
3051 VINTAGE BLVD
JUNEAU, AK 99801
Physical Therapist
3051 VINTAGE BLVD
JUNEAU, AK 99801
Clinic/Center (Physical Therapy)
3051 VINTAGE BLVD, STE 301
JUNEAU, AK 99801
Counselor (Mental Health)
3051 VINTAGE BLVD
JUNEAU, AK 99801
Nurse Practitioner (Psychiatric/Mental Health)
3051 VINTAGE BLVD
JUNEAU, AK 99801
Case Manager/Care Coordinator
3051 VINTAGE BLVD
JUNEAU, AK 99801
Case Manager/Care Coordinator
3051 VINTAGE BLVD
JUNEAU, AK 99801
Case Manager/Care Coordinator
3051 VINTAGE BLVD
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.

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 with the weekly NPPES data releases published by CMS.