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MIMI M KENNEDY-ROSS LPC
NPI 1760927412
Counselor - Professional in Oracle, AZ

Active since January 04, 2017
DODGE & MT LEMMON RD, ORACLE, AZ 85623(520) 896-9240 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mimi M Kennedy-ross Lpc NPPES

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

MIMI M KENNEDY-ROSS LPC (NPI 1760927412) is an individual professional provider in Oracle, Arizona, licensed in Arizona (LPC-16413) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1760927412
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIMI M KENNEDY-ROSSCredential: LPC
Location AddressDODGE & MT LEMMON RDOracle, AZ 85623
Mailing AddressDodge & Mt Lemmon RdOracle, AZ 85623 · (520) 896-9240
Phone(520) 896-9240
Sole ProprietorYes
Enumeration DateJanuary 4, 2017
✔ NPI 1760927412 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 AZ · LPC-16413
DODGE & MT LEMMON RD, Oracle, AZ 85623
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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 Mimi Kennedy-ross's NPI number?

The NPI number for Mimi Kennedy-ross is 1760927412. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Mimi Kennedy-ross located?

Mimi Kennedy-ross practices at Dodge & Mt Lemmon Rd, Oracle, AZ 85623. The listed phone number is (520) 896-9240.

What is Mimi Kennedy-ross's specialty?

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

When was this NPI record last updated?

The NPPES record for Mimi Kennedy-ross was last updated on January 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.