BENJAMIN ADAM KENNERT LP, LBA
NPI 1356749022
Psychologist in Grand Rapids, MI
About Benjamin Adam Kennert Lp, Lba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN ADAM KENNERT LP, LBA (NPI 1356749022) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301016091) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Adam Kennert Lp, Lba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Kennert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Benjamin Kennert's NPI number?
The NPI number for Benjamin Kennert is 1356749022. It was assigned to this individual provider in the NPPES registry on December 12, 2014.
Where is Benjamin Kennert located?
Benjamin Kennert practices at 35 Michigan St NE Ste 5201, Grand Rapids, MI 49503. The listed phone number is (616) 267-2830.
What is Benjamin Kennert's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Benjamin Kennert enrolled in Medicare?
Yes. Benjamin Kennert is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Benjamin Kennert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Kennert reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). 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 Benjamin Kennert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Kennert accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Benjamin Kennert 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 Benjamin Kennert was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.