DR. YAJAIRA MARILYN KENNISON PSYD, LCSW
NPI 1700031648
Social Worker - Clinical in Truckee, CA

Q: What is Yajaira Kennison's NPI number?

The NPI number for Yajaira Kennison is 1700031648. It was assigned to this individual provider in the NPPES registry on November 19, 2008.

Q: What is Yajaira Kennison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Yajaira Kennison was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 19, 2008PECOS Enrolled

10775 PIONEER TRL STE 215, TRUCKEE, CA 96161(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2019, Nov 27, 2019, Nov 5, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Yajaira Marilyn Kennison Psyd, Lcsw NPPES

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

DR. YAJAIRA MARILYN KENNISON PSYD, LCSW (NPI 1700031648) is an individual clinical provider in Truckee, California, licensed in California (79259) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700031648

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDR. YAJAIRA MARILYN KENNISONCredential: PSYD, LCSW

Location Address10775 PIONEER TRL STE 215Truckee, CA 96161-0234

Mailing Address8300 Esters Blvd Ste 900Irving, TX 75063-2233 · (415) 424-4266 · Fax (415) 520-6633

Phone(415) 424-4266

Fax(415) 520-6633

Sole ProprietorNo

Enumeration DateNovember 19, 2008

Last NPPES UpdateApril 28, 20235 updates tracked since enumeration

NPPES CertifiedApril 28, 2023

✔ NPI 1700031648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 79259✔ Licensed in MN · 31592

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedRehabilitation CounselorTaxonomy 225C00000X

10775 PIONEER TRL STE 215, Truckee, CA 96161

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Other Identifiers 1

Medicaid1700031648CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yajaira Marilyn Kennison Psyd, Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LISA ANNE TAFT MSW, LMHC, LPC

Counselor (Mental Health)