1. Home
  2. Directory
  3. Ohio
  4. Willoughby
  5. Counselor
  6. NPI Profile

KATHLEEN KENNEDY LSW
NPI 1841658358
Counselor - Mental Health in Willoughby, OH

Active since January 29, 2016PECOS Enrolled
38882 MENTOR AVE, WILLOUGHBY, OH 44094(440) 953-9999 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2019, Jan 29, 2016 (2 updates tracked since 2016).

About Kathleen Kennedy Lsw NPPES

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

KATHLEEN KENNEDY LSW (NPI 1841658358) is an individual mental health provider in Willoughby, Ohio, licensed in Ohio (S.1600057) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841658358
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN KENNEDYCredential: LSW
Location Address38882 MENTOR AVEWilloughby, OH 44094-7875
Mailing Address38882 Mentor AveWilloughby, OH 44094-7875 · (440) 953-9999
Phone(440) 953-9999
Sole ProprietorYes
Enumeration DateJanuary 29, 2016
Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration
✔ NPI 1841658358 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 OH · S.1600057
38882 MENTOR AVE, Willoughby, OH 44094
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Aurand

Other Identifiers 1

Medicaid0279132OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Kennedy Lsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
Same address
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

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 20

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

KRYSTI CAMPLESE
Case Manager/Care Coordinator
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
REGINA QUIGLEY
Case Manager/Care Coordinator
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
TATIANA DWYER
Counselor
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
JAMIEE K IMBROGNO
Social Worker (Clinical)
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (404) 953-9999
ELIZABETH KALLAY
Case Management
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 578-8200
SARAH WILLIAMS
Social Worker
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 578-8200
DELISHIA D PORTER-WASHINGTON
Technician, Health Information (Assistant Record Technician)
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
OCTAVEYA LOWE
Community Health Worker
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999

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 Kathleen Kennedy's NPI number?

The NPI number for Kathleen Kennedy is 1841658358. It was assigned to this individual provider in the NPPES registry on January 29, 2016. The provider is also known as Kathleen Aurand.

Where is Kathleen Kennedy located?

Kathleen Kennedy practices at 38882 Mentor Ave, Willoughby, OH 44094. The listed phone number is (440) 953-9999.

What is Kathleen Kennedy's specialty?

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

Is Kathleen Kennedy enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Kennedy reassigns Medicare benefits to Signature Health, Inc (Willoughby, OH). 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 Kathleen Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Kennedy accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kathleen Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Kennedy was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.