BENJAMIN ADAM KENNERT LP, LBA
NPI 1356749022
Psychologist in Grand Rapids, MI

Active since December 12, 2014PECOS Enrolled
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503(616) 267-2830 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Dec 3, 2020, Jul 15, 2016 (3 updates tracked since 2016).

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

NPI1356749022
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBENJAMIN ADAM KENNERTCredential: LP, LBA
Location Address35 MICHIGAN ST NE STE 5201Grand Rapids, MI 49503-2530
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Enumeration DateDecember 12, 2014
Last NPPES UpdateApril 18, 20253 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1356749022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301016091
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
35 MICHIGAN ST NE STE 5201, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Adam Kennert Lp, Lba 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.

Psychologist (Clinical Child & Adolescent)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychologist (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Nephrology)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Psychiatry)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Dietitian, Registered
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Psychologist (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Dermatology (Pediatric Dermatology)
35 MICHIGAN ST NE STE 5201
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.

What insurance does Benjamin Kennert accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan 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 15 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.