BONNIE KENNEDY M.S.
NPI 1669706362
Counselor - Mental Health in Miami, FL

Q: What is Bonnie Kennedy's NPI number?

The NPI number for Bonnie Kennedy is 1669706362. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Q: What is Bonnie Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Kennedy was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 28, 2009PECOS Enrolled

22790 SW 112TH AVE, MIAMI, FL 33170(305) 235-2616(305) 235-6178 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Bonnie Kennedy M.s. NPPES

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

BONNIE KENNEDY M.S. (NPI 1669706362) is an individual mental health provider in Miami, Florida, licensed in Florida (MH11499) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1669706362

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBONNIE KENNEDYCredential: M.S.

Location Address22790 SW 112TH AVEMiami, FL 33170-7602

Mailing Address8590 Sw 212th St, #212Cutler Bay, FL 33189-3755

Phone(305) 235-2616

Fax(305) 235-6178

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 28, 2009

Last NPPES UpdateOctober 9, 2018

✔ NPI 1669706362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH11499

22790 SW 112TH AVE, Miami, FL 33170

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Kennedy M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901143817

PECOS Enrollment IDI20240213001022

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

Agape Network, Inc.

Same address

Substance Abuse Rehabilitation Facility

22790 S.W. 112 AVENUE
Miami, FL 33170

Reassigned Medicare billing, Florida enrollment
26 clinicians in this Medicare group

NPI 1326191156 (305) 235-2616

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.

TENAY RODRIGUEZ-SANCHEZ

Case Manager/Care Coordinator