1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNEDY CRUTCHFIELD
NPI 1386274801
Counselor - Mental Health in Marietta, GA

Active since January 23, 2020PECOS Enrolled
1810 WHITE CIR STE 105, MARIETTA, GA 30066(770) 420-1600(770) 999-2802 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Sep 25, 2026, Jan 23, 2020 (3 updates tracked since 2020).

About Kennedy Crutchfield NPPES

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

KENNEDY CRUTCHFIELD (NPI 1386274801) is an individual mental health provider in Marietta, Georgia, licensed in Georgia (PSY900394) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gretna.

NPPES Registry Identity

NPI1386274801
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENNEDY CRUTCHFIELD
Location Address1810 WHITE CIR STE 105Marietta, GA 30066-5836
Mailing Address1810 White Cir Ste 105Marietta, GA 30066-5836 · (770) 420-1600 · Fax (770) 999-2802
Phone(770) 420-1600
Fax(770) 999-2802
Sole ProprietorNo
Enumeration DateJanuary 23, 2020
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1386274801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · PSY900394
1810 WHITE CIR STE 105, Marietta, GA 30066
Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 Belle Chasse HwyGretna, LA 70053-6651 · Phone (504) 367-6630

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Crutchfield 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 3

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

KENLY KING
Nurse Practitioner (Family)
1810 WHITE CIR STE 105
MARIETTA, GA 30066
Cobb County (770) 420-1600
MRS. SHANNON ASHE SHOCKLEY FNP-BC
Registered Nurse (General Practice)
1810 WHITE CIR STE 105
MARIETTA, GA 30066
Cobb County (678) 797-6820
DR. LAURIE LAMMERT MD
Internal Medicine
1810 WHITE CIR STE 105
MARIETTA, GA 30066
Cobb County (678) 797-6820

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 Crutchfield's NPI number?

The NPI number for Kennedy Crutchfield is 1386274801. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Kennedy Crutchfield located?

Kennedy Crutchfield practices at 1810 White Cir Ste 105, Marietta, GA 30066. The listed phone number is (770) 420-1600.

What is Kennedy Crutchfield's specialty?

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

Is Kennedy Crutchfield enrolled in Medicare?

Yes. Kennedy Crutchfield is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kennedy Crutchfield was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.