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KENNEDY SMITH CDCA
NPI 1376226407
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Active since August 07, 2023
680 PARK AVE W, MANSFIELD, OH 44906(419) 528-5993(567) 560-5483 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennedy Smith Cdca NPPES

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

KENNEDY SMITH CDCA (NPI 1376226407) is an individual addiction (substance use disorder) provider in Mansfield, Ohio, licensed in Ohio (CDCA.184979) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1376226407
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKENNEDY SMITHCredential: CDCA
Location Address680 PARK AVE WMansfield, OH 44906-3706
Mailing Address680 Park Ave WMansfield, OH 44906-3706 · (419) 528-5993 · Fax (567) 560-5483
Phone(419) 528-5993
Fax(567) 560-5483
Sole ProprietorNo
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1376226407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.184979
680 PARK AVE W, Mansfield, OH 44906
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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.

HEALING HEARTS COUNSELING CENTER, LLC
Community/Behavioral Health
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
ELIZABETH A DEAN CDCA
Counselor (Addiction (Substance Use Disorder))
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
EMILY KELLER
Case Manager/Care Coordinator
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
ANDREW BAILEY CT
Counselor (School)
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
KRISTEN HORNER ROBERTS
Case Manager/Care Coordinator
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
RYAN PATRICK HORN MED, LPC
Counselor (Professional)
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
ALEXIS WITTE LISW-S
Social Worker (Clinical)
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993
HEATHER SHERIDAN WILDS CMS
Counselor (Addiction (Substance Use Disorder))
680 PARK AVE W
MANSFIELD, OH 44906
Richland County (419) 528-5993

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 Kennedy Smith's NPI number?

The NPI number for Kennedy Smith is 1376226407. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Kennedy Smith located?

Kennedy Smith practices at 680 Park Ave W, Mansfield, OH 44906. The listed phone number is (419) 528-5993.

What is Kennedy Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Smith was last updated on August 7, 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.