1. Home
  2. Directory
  3. Louisiana
  4. Metairie
  5. Counselor
  6. NPI Profile

TYLA MARIE KENNEDY MA, NCC, LPC
NPI 1811543358
Counselor - Mental Health in Metairie, LA

Active since August 12, 2019PECOS Enrolled
2504 MAINE AVE, METAIRIE, LA 70003(504) 949-7074 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 6, 2025, Sep 8, 2025, Aug 12, 2019 (3 updates tracked since 2019).

About Tyla Marie Kennedy Ma, Ncc, Lpc NPPES

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

TYLA MARIE KENNEDY MA, NCC, LPC (NPI 1811543358) is an individual mental health provider in Metairie, Louisiana, licensed in Louisiana (9236) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811543358
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYLA MARIE KENNEDYCredential: MA, NCC, LPC
Location Address2504 MAINE AVEMetairie, LA 70003-5445
Mailing Address2504 Maine AveMetairie, LA 70003-5445 · (504) 949-7074
Phone(504) 949-7074
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 12, 2019
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1811543358 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 LA · 9236
2504 MAINE AVE, Metairie, LA 70003
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyla Marie Kennedy Ma, Ncc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507356177
PECOS Enrollment IDI20251104000262
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 Tyla Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
679 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Louisiana enrollment
  • 163 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 5

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

PEYTON LISSETTE DUPUY SLP
Speech-Language Pathologist
2504 MAINE AVE
METAIRIE, LA 70003
Jefferson Parish (504) 233-4720
CATHERINE MARTINY M.C.D., CCC/SLP
Speech-Language Pathologist
2504 MAINE AVE
METAIRIE, LA 70003
Jefferson Parish (504) 233-2144
MADELYN BORGES BARTLETT M.S., CCC-SLP
Speech-Language Pathologist
2504 MAINE AVE
METAIRIE, LA 70003
Jefferson Parish (504) 233-4720
ELIZABETH BYRD RN
Registered Nurse (School)
2504 MAINE AVE
METAIRIE, LA 70003
Jefferson Parish (504) 267-9480
ADELE LANGLOIS BLANDFORD MA, CCC-SLP
Speech-Language Pathologist
2504 MAINE AVE
METAIRIE, LA 70003
Jefferson Parish (504) 233-4720

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 Tyla Kennedy's NPI number?

The NPI number for Tyla Kennedy is 1811543358. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Tyla Kennedy located?

Tyla Kennedy practices at 2504 Maine Ave, Metairie, LA 70003. The listed phone number is (504) 949-7074.

What is Tyla Kennedy's specialty?

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

Is Tyla Kennedy enrolled in Medicare?

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

Which organization bills Medicare for Tyla Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyla Kennedy reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Tyla 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 Tyla Kennedy was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.