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RAYMOND VERNON KENNEDY
NPI 1609467414
Counselor - Professional in Brandon, MS

Active since February 03, 2021Opted out of Medicare · through Aug 29, 2026
721 S COLLEGE ST, BRANDON, MS 39042(601) 906-6742 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raymond Vernon Kennedy NPPES

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

RAYMOND VERNON KENNEDY (NPI 1609467414) is an individual professional provider in Brandon, Mississippi, licensed in Mississippi (P-0585) and active in the NPI registry since February 2021. He has opted out of Medicare through August 29, 2026.

NPPES Registry Identity

NPI1609467414
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRAYMOND VERNON KENNEDY
Location Address721 S COLLEGE STBrandon, MS 39042-3605
Mailing Address721 S College StBrandon, MS 39042-3605 · (601) 906-6742
Phone(601) 906-6742
Sole ProprietorYes
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1609467414 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 MS · P-0585
721 S COLLEGE ST, Brandon, MS 39042
Open in Google Maps ↗

Other Identifiers 1

OtherP-0585MS · State License Number Lpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Raymond Vernon Kennedy has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 29, 2024 through August 29, 2026.

Opt-Out Effective DateAugust 29, 2024
Opt-Out In Effect ThroughAugust 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Raymond Kennedy's NPI number?

The NPI number for Raymond Kennedy is 1609467414. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Raymond Kennedy located?

Raymond Kennedy practices at 721 S College St, Brandon, MS 39042. The listed phone number is (601) 906-6742.

What is Raymond Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Raymond Kennedy enrolled in Medicare?

No. Raymond Kennedy has opted out of Medicare through August 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Raymond Kennedy was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.