JOHN KENNEBREW LPC
NPI 1295121606
Counselor - Professional in Newnan, GA

Active since April 13, 2015PECOS Enrolled
249 TEMPLE AVE STE 263, NEWNAN, GA 30263(770) 282-4492 Get Directions Write a Review

NPPES record last updated: April 13, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About John Kennebrew Lpc NPPES

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

JOHN KENNEBREW LPC (NPI 1295121606) is an individual professional provider in Newnan, Georgia, licensed in Georgia (LPC008139) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295121606
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN KENNEBREWCredential: LPC
Location Address249 TEMPLE AVE STE 263Newnan, GA 30263-1369
Mailing Address249 Temple Ave Ste 263Newnan, GA 30263-1369 · (770) 282-4492
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 13, 2015
NPI 1295121606 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 GA · LPC008139
249 TEMPLE AVE STE 263, Newnan, GA 30263

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Kennebrew Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032576863
PECOS Enrollment IDI20260113001056
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.

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 John Kennebrew's NPI number?

The NPI number for John Kennebrew is 1295121606. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is John Kennebrew located?

John Kennebrew practices at 249 Temple Ave Ste 263, Newnan, GA 30263. The listed phone number is (770) 282-4492.

What is John Kennebrew's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Kennebrew enrolled in Medicare?

Yes. John Kennebrew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Kennebrew was last updated on April 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.