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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIANA SAMONE KENNEDY LPC
NPI 1881908226
Counselor in Grand Rapids, MI

Active since July 27, 2010PECOS Enrolled
2335 BURTON ST SE STE 210, GRAND RAPIDS, MI 49506(616) 236-3600 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2025, Dec 7, 2021 (2 updates tracked since 2021).

About Tiana Samone Kennedy Lpc NPPES

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

TIANA SAMONE KENNEDY LPC (NPI 1881908226) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6401012015) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1881908226
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTIANA SAMONE KENNEDYCredential: LPC
Location Address2335 BURTON ST SE STE 210Grand Rapids, MI 49506-4669
Mailing AddressPo Box 746723Atlanta, GA 30374-6723 · (773) 352-1515
Phone(616) 236-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 27, 2010
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1881908226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401012015
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401012015 (MI)
2335 BURTON ST SE STE 210, Grand Rapids, MI 49506
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Secondary Practice Locations 2

Location 111260 E Jefferson AveDetroit, MI 48214-3320 · Phone (313) 749-0148
Location 227155 Cherry Hill RdInkster, MI 48141-1204 · Phone (313) 749-1178

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiana Samone Kennedy Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668987553
PECOS Enrollment IDI20250710003856
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 9

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

MR. ANTHONY B CAPRARA
Social Worker (Clinical)
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
MS. EBONY SHIANNE CRANE LMSW
Social Worker (Clinical)
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
RESILIENCE THERAPY LLC
Social Worker
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
TANESHA REID
Social Worker
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
AUTUMN LANAE HENDRICKS
Social Worker (Clinical)
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
MICAH B ENOCH LLMSW
Social Worker (Clinical)
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
MS. ZENIA MICHELLE BATES LLMSW
Social Worker (Clinical)
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600
ROXANA BERNIER PESANTE
Social Worker (Clinical)
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506
Kent County (616) 236-3600

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 Tiana Kennedy's NPI number?

The NPI number for Tiana Kennedy is 1881908226. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Tiana Kennedy located?

Tiana Kennedy practices at 2335 Burton St SE Ste 210, Grand Rapids, MI 49506. The listed phone number is (616) 236-3600.

What is Tiana Kennedy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tiana Kennedy enrolled in Medicare?

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

What insurance does Tiana Kennedy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and UnitedHealthcare list Tiana 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 Tiana Kennedy was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.