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KIMBERLY KENNEDY LCPC
NPI 1619522851
Counselor - Professional in Independence, KS

Active since August 05, 2019PECOS EnrolledAccepts Medicare Assignment
3354 HIGHWAY 160, INDEPENDENCE, KS 67301(620) 331-1748 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kimberly Kennedy Lcpc NPPES

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

KIMBERLY KENNEDY LCPC (NPI 1619522851) is an individual professional provider in Independence, Kansas, licensed in Kansas (2644) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619522851
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY KENNEDYCredential: LCPC
Location Address3354 HIGHWAY 160Independence, KS 67301-7841
Mailing AddressPo Box 688Independence, KS 67301-0688 · (620) 331-1748
Phone(620) 331-1748
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 5, 2019
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1619522851 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 KS · 2644
3354 HIGHWAY 160, Independence, KS 67301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Kennedy Lcpc 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 ID3072960285
PECOS Enrollment IDI20240809003545
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Four County Mental Health Center Inc
Same address
Mental Health (Including Community Mental Health Center)
3354 HIGHWAY 160
Independence, KS 67301
  • Reassigned Medicare billing, Kansas enrollment
  • 38 clinicians in this Medicare group
NPI 1841290251 (620) 331-1748

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

FOUR COUNTY MENTAL HEALTH CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
RICHARD FRANCIS FAILLA LCPC
Counselor (Professional)
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
JAQULYN LEE LUCILLE WILSON LMSW
Social Worker
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
MATTHEW LEE WOODRUM LPC
Counselor (Professional)
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
JESSICA GONZALEZ
Counselor
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-3131
SOHEIL NASHTAHOSSEINI
Counselor (Professional)
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
3354 HIGHWAY 160
INDEPENDENCE, KS 67301
Montgomery County (620) 331-1748

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 Kimberly Kennedy's NPI number?

The NPI number for Kimberly Kennedy is 1619522851. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Kimberly Kennedy located?

Kimberly Kennedy practices at 3354 Highway 160, Independence, KS 67301. The listed phone number is (620) 331-1748.

What is Kimberly Kennedy's specialty?

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

Is Kimberly Kennedy enrolled in Medicare?

Yes. Kimberly Kennedy 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.

Which organization bills Medicare for Kimberly Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kennedy reassigns Medicare benefits to Four County Mental Health Center Inc (Independence, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Kennedy accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Medica list Kimberly Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Kennedy was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.