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EZERY KENNEDY JR.
NPI 1821353780
Counselor - Mental Health in San Luis Obispo, CA

Active since July 06, 2012
277 SOUTH ST STE Y, SAN LUIS OBISPO, CA 93401(805) 541-5144(805) 541-9480 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezery Kennedy Jr. NPPES

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

EZERY KENNEDY JR. (NPI 1821353780) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1821353780
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEZERY KENNEDY JR.
Location Address277 SOUTH ST STE YSan Luis Obispo, CA 93401-5039
Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 541-5144 · Fax (805) 541-9480
Phone(805) 541-5144
Fax(805) 541-9480
Sole ProprietorNo
Enumeration DateJuly 6, 2012
✔ NPI 1821353780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
277 SOUTH ST STE Y, San Luis Obispo, CA 93401
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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.

WHITNEY FORD
Counselor (Mental Health)
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5144
SALLY ANN LAMAS
Counselor (Mental Health)
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5144
KATIE STEWART
Counselor (Mental Health)
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5144
MRS. JANICE CLAIRE HOLMES
Counselor
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5144
MR. KEVIN HURLEY BASCOM
Counselor (Mental Health)
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5144
TRANSITION-MENTAL HEALTH ASSOCIATION
Community/Behavioral Health
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (425) 772-0749
SHEA SCHEUER
Counselor (Mental Health)
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5144
MRS. MARY COLEEN BLOUT
Counselor
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 305-9219

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 Ezery Kennedy's NPI number?

The NPI number for Ezery Kennedy is 1821353780. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Ezery Kennedy located?

Ezery Kennedy practices at 277 South St Ste Y, San Luis Obispo, CA 93401. The listed phone number is (805) 541-5144.

What is Ezery Kennedy's specialty?

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

When was this NPI record last updated?

The NPPES record for Ezery Kennedy was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.