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MRS. CANDY ANN KENNEDY M.A.
NPI 1639473234
Counselor - Professional in Milwaukee, WI

Active since December 22, 2010PECOS Enrolled
6040 W LISBON AVE, MILWAUKEE, WI 53210(414) 871-9111(414) 871-9121 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Candy Ann Kennedy M.a. NPPES

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

MRS. CANDY ANN KENNEDY M.A. (NPI 1639473234) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (525226) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639473234
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CANDY ANN KENNEDYCredential: M.A.
Location Address6040 W LISBON AVEMilwaukee, WI 53210-2116
Mailing Address6040 W Lisbon AveMilwaukee, WI 53210-2116 · (414) 871-9111 · Fax (414) 871-9121
Phone(414) 871-9111
Fax(414) 871-9121
Sole ProprietorNo
Enumeration DateDecember 22, 2010
✔ NPI 1639473234 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 WI · 525226
6040 W LISBON AVE, Milwaukee, WI 53210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Candy Ann Kennedy M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Candy Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abg Wellness Group Inc
6.7 mi
Community/Behavioral Health
11414 W PARK PL STE 202
Milwaukee, WI 53224
  • Reassigned Medicare billing, Wisconsin enrollment
  • 39 clinicians in this Medicare group
NPI 1184087389 (414) 292-7060

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.

ANTONIA SALLIS MS,SAC,DPI TEACHER
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 364-0406
MS. ELIZABETH SUSAN PORT M.S.
Counselor (Professional)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 447-9890
OUR DAILY BREAD COMMUNITY OUTREACH CENTER, INC
Case Management
6040 W LISBON AVE, SUITE 203
MILWAUKEE, WI 53210
Milwaukee County (414) 255-8595
COLLEEN RUNGE M.S.
Counselor (Mental Health)
6040 W LISBON AVE
MILWAUKEE, WI 53210
Milwaukee County (414) 442-1751
BARBARA A DENTON MA, ATR
Counselor (Mental Health)
6040 W LISBON AVE, SUITE 102
MILWAUKEE, WI 53210
Milwaukee County (414) 871-9111
REC ENTERPRISE LLC
Case Management
6040 W LISBON AVE, STE B6
MILWAUKEE, WI 53210
Milwaukee County (414) 488-2808
INSIGHT COUNSELING SERVICES INC
Community/Behavioral Health
6040 W LISBON AVE, SUITE 200
MILWAUKEE, WI 53210
Milwaukee County (414) 447-9890
MR. SCOTT LANG SAC-IT
Counselor (Addiction (Substance Use Disorder))
6040 W LISBON AVE, 102
MILWAUKEE, WI 53210
Milwaukee County (414) 454-6707

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 Candy Kennedy's NPI number?

The NPI number for Candy Kennedy is 1639473234. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Candy Kennedy located?

Candy Kennedy practices at 6040 W Lisbon Ave, Milwaukee, WI 53210. The listed phone number is (414) 871-9111.

What is Candy Kennedy's specialty?

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

Is Candy Kennedy enrolled in Medicare?

Yes. Candy Kennedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Candy Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candy Kennedy reassigns Medicare benefits to Abg Wellness Group Inc (Milwaukee, WI). 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 Candy Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candy Kennedy was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.