Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MARISSA KENNEDY
NPI 1497532543
Counselor - Professional in Soldotna, AK
Active since September 12, 2023
About Marissa Kennedy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA KENNEDY (NPI 1497532543) is an individual professional provider in Soldotna, Alaska, licensed in Alaska (250943) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1497532543
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA KENNEDY
Location Address230 E MARYDALE AVESoldotna, AK 99669-7648
Mailing AddressPo Box 2949Soldotna, AK 99669-2949 · (907) 395-4399 · Fax (907) 262-9290
Phone(907) 262-3119
Fax(907) 262-9290
Sole ProprietorNo
Enumeration DateSeptember 12, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1497532543 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 250943
230 E MARYDALE AVE, Soldotna, AK 99669
Other Names 1
Former Name (1)Marissa Kuhn
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.
Nurse Practitioner (Community Health)
230 E MARYDALE AVE, SUITE 1
SOLDOTNA, AK 99669
SOLDOTNA, AK 99669
Social Worker (Clinical)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
SOLDOTNA, AK 99669
Nurse Practitioner (Psychiatric/Mental Health)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
SOLDOTNA, AK 99669
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497532543, enumerated as an "individual" on September 12, 2023.
The provider is located at 230 E MARYDALE AVE SOLDOTNA, AK 99669 and the phone number is (907) 262-3119.
Counselor with taxonomy code 101YP2500X and a focus in Professional.