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JACOB KENNEDY
NPI 1558023689
Counselor in Willimantic, CT

Active since October 06, 2021
1310 MAIN ST, WILLIMANTIC, CT 06226(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Kennedy NPPES

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

JACOB KENNEDY (NPI 1558023689) is an individual counselor in Willimantic, Connecticut and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1558023689
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACOB KENNEDY
Location Address1310 MAIN STWillimantic, CT 06226-1910
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 731-5522
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1558023689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1310 MAIN ST, Willimantic, CT 06226
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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.

ELICIA L JONES
Counselor
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
NATHAN R ALLEN LMSW
Social Worker
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
NING CRUZADO
Counselor (Mental Health)
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
AMANDA CHURCH
Counselor
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
KELLY M SHEPARD
Counselor
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
FELICIA CA MARTIN
Counselor (Mental Health)
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
TAYLOR SNIETKA
Counselor
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522
PAMELA L DENOVA
Counselor
1310 MAIN ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 731-5522

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 Jacob Kennedy's NPI number?

The NPI number for Jacob Kennedy is 1558023689. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Jacob Kennedy located?

Jacob Kennedy practices at 1310 Main St, Willimantic, CT 06226. The listed phone number is (860) 731-5522.

What is Jacob Kennedy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jacob Kennedy was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.