MR. CHARLES M KENNEDY NCAC II
NPI 1730320805
Counselor in Dallas, OR

Q: What is Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1730320805. It was assigned to this individual provider in the NPPES registry on March 18, 2009.

Q: What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 18, 2009

171 SW COURT ST, DALLAS, OR 97338(503) 831-1423(503) 831-1573 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Charles M Kennedy Ncac Ii NPPES

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

MR. CHARLES M KENNEDY NCAC II (NPI 1730320805) is an individual counselor in Dallas, Oregon, licensed in Oregon (97-04-91) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1730320805

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. CHARLES M KENNEDYCredential: NCAC II

Location Address171 SW COURT STDallas, OR 97338-3112

Mailing Address171 Sw Court StDallas, OR 97338-3112 · (503) 831-1423 · Fax (503) 831-1573

Phone(503) 831-1423

Fax(503) 831-1573

Sole ProprietorNo

Enumeration DateMarch 18, 2009

✔ NPI 1730320805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OR · 97-04-91

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

171 SW COURT ST, Dallas, OR 97338

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOMOKO GERSCH PH.D.

Counselor

171 SW COURT ST
DALLAS, OR 97338

Polk County (503) 831-1423

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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1730320805. It was assigned to this individual provider in the NPPES registry on March 18, 2009.

Where is Charles Kennedy located?

Charles Kennedy practices at 171 SW Court St, Dallas, OR 97338. The listed phone number is (503) 831-1423.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.