MS. SUSAN D. KENNEDY MS, NCC, LPC
NPI 1265501670
Counselor - Mental Health in Columbus, OH

Q: What is Susan Kennedy's NPI number?

The NPI number for Susan Kennedy is 1265501670. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Susan Kennedy'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 Susan Kennedy was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2006PECOS Enrolled

1160 W BROAD ST, COLUMBUS, OH 43222(614) 274-1455(614) 274-1433 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Feb 28, 2022, Jul 31, 2017 (3 updates tracked since 2017).

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About Ms. Susan D. Kennedy Ms, Ncc, Lpc NPPES

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

MS. SUSAN D. KENNEDY MS, NCC, LPC (NPI 1265501670) is an individual mental health provider in Columbus, Ohio, licensed in Ohio (E.110216-SUPV) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265501670

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. SUSAN D. KENNEDYCredential: MS, NCC, LPC

Location Address1160 W BROAD STColumbus, OH 43222-1352

Mailing Address3422 Vintage Woods DriveHilliard, OH 43026 · (614) 445-8131

Phone(614) 274-1455

Fax(614) 274-1433

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 7, 2006

Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1265501670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in OH · E.110216-SUPV✔ Licensed in MO · 2001031746

1160 W BROAD ST, Columbus, OH 43222

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Other Identifiers 1

Medicaid0235855OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan D. Kennedy Ms, Ncc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234562919

PECOS Enrollment IDI20260408000834

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 20

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

AMANDA RANSDELL O.D.

Optometrist

1160 W BROAD ST
COLUMBUS, OH 43222

Franklin County (614) 274-1455

MARY JOHNSTON RD LD

Dietitian, Registered