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

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: November 01, 2026.

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

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, maintains a secondary practice location in Columbus, 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 11791 Alum Creek DrColumbus, OH 43207-1708 · Phone (614) 445-8131 ext. 279 · Fax (614) 827-8380

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lower Lights Christian Health Center, Inc.
Same address
Primary Care
1160 W BROAD ST
Columbus, OH 43222
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group
NPI 1033455209 (614) 274-1455

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 20

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

OLIVIA VALENTINE
Nurse Practitioner (Family)
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC.
Clinic/Center (Primary Care)
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
MRS. RANJANA SINHA MD
Pediatrics
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
JORI BLUME
Social Worker (Clinical)
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
AMANDA RANSDELL O.D.
Optometrist
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
CRYSTAL BURNFIELD
Nurse Practitioner
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
DR. TERRESA LOUISE HAWTHORNE MD
Family Medicine
1160 W BROAD ST
COLUMBUS, OH 43222
Franklin County (614) 274-1455
ANJA VESANEN BROKAW NP-C
Nurse Practitioner (Family)
1160 W BROAD ST, LOWER LIGHTS CHRISTIAN HEALTH CENTER
COLUMBUS, OH 43222
Franklin County (614) 274-1455

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 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.

Where is Susan Kennedy located?

Susan Kennedy practices at 1160 W Broad St, Columbus, OH 43222. The listed phone number is (614) 274-1455.

What is Susan Kennedy's specialty?

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

Is Susan Kennedy enrolled in Medicare?

Yes. Susan Kennedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kennedy reassigns Medicare benefits to Lower Lights Christian Health Center, Inc. (Columbus, OH). 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 Susan Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Kennedy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Susan 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 Susan Kennedy was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.