MR. KENNETH RAY CUNNINGHAM MFT INTERN
NPI 1417346297
Marriage & Family Therapist in San Diego, CA

Active since January 15, 2015PECOS EnrolledAccepts Medicare Assignment
6280 JACKSON DR STE 7, SAN DIEGO, CA 92119(619) 462-2277 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Ray Cunningham Mft Intern NPPES

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

MR. KENNETH RAY CUNNINGHAM MFT INTERN (NPI 1417346297) is an individual marriage & family therapist in San Diego, California, licensed in California (IMF73660) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417346297
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KENNETH RAY CUNNINGHAMCredential: MFT INTERN
Location Address6280 JACKSON DR STE 7San Diego, CA 92119-3436
Mailing Address6280 Jackson Dr Ste 7San Diego, CA 92119-3436 · (619) 462-2277
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 15, 2015
NPI 1417346297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · IMF73660
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6280 JACKSON DR STE 7, San Diego, CA 92119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth Ray Cunningham Mft Intern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395182836
PECOS Enrollment IDI20240320001789
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.

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 Kenneth Cunningham's NPI number?

The NPI number for Kenneth Cunningham is 1417346297. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Kenneth Cunningham located?

Kenneth Cunningham practices at 6280 Jackson Dr Ste 7, San Diego, CA 92119. The listed phone number is (619) 462-2277.

What is Kenneth Cunningham's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kenneth Cunningham enrolled in Medicare?

Yes. Kenneth Cunningham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Cunningham was last updated on January 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.