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HOLLY KENNEY CT
NPI 1356006993
Counselor - Addiction (Substance Use Disorder) in Medina, OH

Active since November 08, 2021PECOS Enrolled
246 NORTHLAND DR STE 200A, MEDINA, OH 44256(330) 725-9195(330) 725-9187 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Nov 6, 2023, Nov 8, 2021 (3 updates tracked since 2021).

About Holly Kenney Ct NPPES

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

HOLLY KENNEY CT (NPI 1356006993) is an individual addiction (substance use disorder) provider in Medina, Ohio and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356006993
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHOLLY KENNEYCredential: CT
Location Address246 NORTHLAND DR STE 200AMedina, OH 44256-3440
Mailing Address246 Northland Dr Ste 200aMedina, OH 44256-3440 · (330) 725-9195 · Fax (330) 725-9187
Phone(330) 725-9195
Fax(330) 725-9187
Sole ProprietorNo
Enumeration DateNovember 8, 2021
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1356006993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C.2406001
246 NORTHLAND DR STE 200A, Medina, OH 44256
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Kenney Ct is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

EMILY HERRICK
Case Manager/Care Coordinator
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SAVANAH BORCUCH LSW
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MELINDA ANNE SILLIMAN QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MR. PHILIP BRADLEY LONDRICO CDCA
Counselor (Addiction (Substance Use Disorder))
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
LOIS WILLIAMS HART MSN,CNS
Registered Nurse (Psychiatric/Mental Health)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
JASMINE MYERS
Social Worker
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
SHATAYLA CASONDA WATKINS QMHS
Behavior Analyst
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
MRS. JEANETTE INEZ PYCRAFT LISW
Social Worker (Clinical)
246 NORTHLAND DR STE 200A
MEDINA, OH 44256
Medina County (330) 725-9195

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 Holly Kenney's NPI number?

The NPI number for Holly Kenney is 1356006993. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Holly Kenney located?

Holly Kenney practices at 246 Northland Dr Ste 200A, Medina, OH 44256. The listed phone number is (330) 725-9195.

What is Holly Kenney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Holly Kenney enrolled in Medicare?

Yes. Holly Kenney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Kenney was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.