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KIMBERLY KENNEDY
NPI 1841728144
Counselor - Mental Health in Buffalo, NY

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment
3020 BAILEY AVE, BUFFALO, NY 14215(716) 831-2700 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 14, 2023, Jul 21, 2022, Apr 6, 2021 and 1 more (4 updates tracked since 2017).

About Kimberly Kennedy NPPES

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

KIMBERLY KENNEDY (NPI 1841728144) is an individual mental health provider in Buffalo, New York, licensed in New York (009685) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1841728144
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY KENNEDY
Location Address3020 BAILEY AVEBuffalo, NY 14215-2814
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-7000
Phone(716) 831-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2017
Last NPPES UpdateFebruary 14, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1841728144 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 NY · 009685
3020 BAILEY AVE, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Kennedy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42662157
PECOS Enrollment IDI20240113000475
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.

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.

REBEKAH MOSHER
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE, 2ND FLOOR
BUFFALO, NY 14215
Erie County (716) 831-1800
BONNIE PARKOT
Counselor
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-2700
BLAIR BUCZKOWSKI
Registered Nurse
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-2700
VANESSA CHINEMELUM ABUDEI
Counselor
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 833-3622
MRS. SARAH KATHRYN HALL MS
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-1850
MS. KELLY ANN SPEARS CASAC-T
Counselor (Mental Health)
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 830-1800
RONALD G KRASKA O.T.R.
Counselor (Mental Health)
3020 BAILEY AVE
BUFFALO, NY 14215
Erie County (716) 831-1800
HEATHER MENDYK
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE, 2ND FLOOR
BUFFALO, NY 14215
Erie County (716) 831-1800

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 Kimberly Kennedy's NPI number?

The NPI number for Kimberly Kennedy is 1841728144. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Kimberly Kennedy located?

Kimberly Kennedy practices at 3020 Bailey Ave, Buffalo, NY 14215. The listed phone number is (716) 831-2700.

What is Kimberly Kennedy's specialty?

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

Is Kimberly Kennedy enrolled in Medicare?

Yes. Kimberly Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Kennedy was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.