KEN CUNNINGHAM
NPI 1316469802
Counselor - Mental Health in Irvine, CA

Active since July 17, 2017Opted out of Medicare · through Jan 1, 2028
111 PACIFICA STE 130, IRVINE, CA 92618(949) 431-6000 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Jul 17, 2017 (2 updates tracked since 2017).

About Ken Cunningham NPPES

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

KEN CUNNINGHAM (NPI 1316469802) is an individual mental health provider in Irvine, California and active in the NPI registry since July 2017. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1316469802
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEN CUNNINGHAM
Location Address111 PACIFICA STE 130Irvine, CA 92618-7421
Mailing Address2733 Family TreeIrvine, CA 92618-1089 · (847) 644-9577
Sole ProprietorNo
Enumeration DateJuly 17, 2017
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1316469802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 PACIFICA STE 130, Irvine, CA 92618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ken Cunningham has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
111 PACIFICA STE 130
IRVINE, CA 92618
Marriage & Family Therapist
111 PACIFICA STE 130
IRVINE, CA 92618
Marriage & Family Therapist
111 PACIFICA STE 130
IRVINE, CA 92618
Marriage & Family Therapist
111 PACIFICA STE 130
IRVINE, CA 92618
Marriage & Family Therapist
111 PACIFICA STE 130
IRVINE, CA 92618

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 Ken Cunningham's NPI number?

The NPI number for Ken Cunningham is 1316469802. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Ken Cunningham located?

Ken Cunningham practices at 111 Pacifica Ste 130, Irvine, CA 92618. The listed phone number is (949) 431-6000.

What is Ken Cunningham's specialty?

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

Is Ken Cunningham enrolled in Medicare?

No. Ken Cunningham has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ken Cunningham was last updated on July 25, 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.