Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDY CONSULTATION & WELLNESS
NPI 1508780404
Counselor - Mental Health in Portage, MI

Active since August 05, 2026
1611 W CENTRE AVE STE 110, PORTAGE, MI 49024(269) 350-4157 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Aug 5, 2026 (2 updates tracked since 2026).

About Kennedy Consultation & Wellness NPPES

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

KENNEDY CONSULTATION & WELLNESS (NPI 1508780404) is a healthcare organization registered as a mental health in Portage, Michigan and active in the NPI registry since August 2026. The organization lists Alicia Rene Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1508780404
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKENNEDY CONSULTATION & WELLNESS
Location Address1611 W CENTRE AVE STE 110Portage, MI 49024-5344
Mailing Address1611 W Centre Ave Ste 110Portage, MI 49024-5344
Organization SubpartNo
Authorized OfficialAlicia Rene KennedyOwner · (269) 364-4157
Enumeration DateAugust 5, 2026
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1508780404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1611 W CENTRE AVE STE 110, Portage, MI 49024

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Consultation & Wellness's NPI number?

The NPI number for Kennedy Consultation & Wellness is 1508780404. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Kennedy Consultation & Wellness located?

Kennedy Consultation & Wellness is located at 1611 W Centre Ave Ste 110, Portage, MI 49024. The listed phone number is (269) 350-4157.

What is Kennedy Consultation & Wellness's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Consultation & Wellness was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.