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: November 01, 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
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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Community/Behavioral Health
55 DODGE RD
Getzville, NY 14068
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group

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.

Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE, 2ND FLOOR
BUFFALO, NY 14215
Counselor
3020 BAILEY AVE
BUFFALO, NY 14215
Registered Nurse
3020 BAILEY AVE
BUFFALO, NY 14215
Counselor
3020 BAILEY AVE
BUFFALO, NY 14215
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE
BUFFALO, NY 14215
Counselor (Mental Health)
3020 BAILEY AVE
BUFFALO, NY 14215
Counselor (Mental Health)
3020 BAILEY AVE
BUFFALO, NY 14215
Counselor (Addiction (Substance Use Disorder))
3020 BAILEY AVE
BUFFALO, NY 14215

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.

Which organization bills Medicare for Kimberly Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kennedy reassigns Medicare benefits to Horizon Health Services Inc (Getzville, NY). 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 Kimberly 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 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.