SAMANTHA KENNEDY
NPI 1952938896
Counselor - Professional in Red Wing, MN

Active since March 23, 2020PECOS Enrolled
129 HEDIN AVE, RED WING, MN 55066(651) 212-7429(507) 446-0431 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Kennedy NPPES

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

SAMANTHA KENNEDY (NPI 1952938896) is an individual professional provider in Red Wing, Minnesota and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952938896
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA KENNEDY
Location Address129 HEDIN AVERed Wing, MN 55066-1907
Mailing Address2575 Harvest LnOwatonna, MN 55060-4305 · (507) 446-0431
Fax(507) 446-0431
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
NPI 1952938896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
129 HEDIN AVE, Red Wing, MN 55066

Accepted 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)

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

PECOS PAC ID8628495868
PECOS Enrollment IDI20240214003678
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 4

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

Social Worker (Clinical)
129 HEDIN AVE
RED WING, MN 55066
Social Worker (Clinical)
129 HEDIN AVE
RED WING, MN 55066
Counselor (Professional)
129 HEDIN AVE
RED WING, MN 55066
Counselor (Professional)
129 HEDIN AVE
RED WING, MN 55066

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 Samantha Kennedy's NPI number?

The NPI number for Samantha Kennedy is 1952938896. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Samantha Kennedy located?

Samantha Kennedy practices at 129 Hedin Ave, Red Wing, MN 55066. The listed phone number is (651) 212-7429.

What is Samantha Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Kennedy enrolled in Medicare?

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

What insurance does Samantha Kennedy accept?

Health plans from HealthPartners list Samantha 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 Samantha Kennedy was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.