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SUSAN KENNY MFT
NPI 1861094732
Marriage & Family Therapist in Novato, CA

Active since November 14, 2020Opted out of Medicare · through Jan 9, 2028
830 SWEETSER AVE, NOVATO, CA 94945(415) 246-2804 Get Directions Write a Review

NPPES record last updated: November 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Kenny Mft NPPES

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

SUSAN KENNY MFT (NPI 1861094732) is an individual marriage & family therapist in Novato, California, licensed in California (115472) and active in the NPI registry since November 2020. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1861094732
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN KENNYCredential: MFT
Location Address830 SWEETSER AVENovato, CA 94945-2462
Mailing Address2553 Topaz DrNovato, CA 94945-1564 · (415) 246-2804
Phone(415) 246-2804
Sole ProprietorYes
Enumeration DateNovember 14, 2020
NPPES CertifiedNovember 14, 2020
✔ NPI 1861094732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 115472
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
830 SWEETSER AVE, Novato, CA 94945
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Kenny Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Susan Kenny's NPI number?

The NPI number for Susan Kenny is 1861094732. It was assigned to this individual provider in the NPPES registry on November 14, 2020.

Where is Susan Kenny located?

Susan Kenny practices at 830 Sweetser Ave, Novato, CA 94945. The listed phone number is (415) 246-2804.

What is Susan Kenny's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Susan Kenny enrolled in Medicare?

No. Susan Kenny has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Kenny was last updated on November 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.