KINNEDY RAYNE VANDEVENDER LPC
NPI 1982558938
Counselor - Professional in Beaumont, TX

Active since February 25, 2026PECOS Enrolled
2750 S 8TH ST, BEAUMONT, TX 77701(409) 839-1000 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kinnedy Rayne Vandevender Lpc NPPES

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

KINNEDY RAYNE VANDEVENDER LPC (NPI 1982558938) is an individual professional provider in Beaumont, Texas, licensed in Texas (91109) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982558938
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKINNEDY RAYNE VANDEVENDERCredential: LPC
Location Address2750 S 8TH STBeaumont, TX 77701-7719
Mailing Address64 Heritage DrVidor, TX 77662-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 25, 2026
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1982558938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 91109
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 91109 (TX)
2750 S 8TH ST, Beaumont, TX 77701

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kinnedy Rayne Vandevender Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466937081
PECOS Enrollment IDI20260401001849
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 Kinnedy Vandevender reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2750 S 8TH ST
Beaumont, TX 77701
  • Reassigned Medicare billing, Texas enrollment
  • 100 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 (Mental Health)
2750 S 8TH ST
BEAUMONT, TX 77701
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Nurse Practitioner (Psychiatric/Mental Health)
2750 S 8TH ST
BEAUMONT, TX 77701
Counselor (Mental Health)
2750 S 8TH ST
BEAUMONT, TX 77701
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Social Worker
2750 S 8TH ST
BEAUMONT, TX 77701
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701

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 Kinnedy Vandevender's NPI number?

The NPI number for Kinnedy Vandevender is 1982558938. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Kinnedy Vandevender located?

Kinnedy Vandevender practices at 2750 S 8th St, Beaumont, TX 77701. The listed phone number is (409) 839-1000.

What is Kinnedy Vandevender's specialty?

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

Is Kinnedy Vandevender enrolled in Medicare?

Yes. Kinnedy Vandevender is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kinnedy Vandevender's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kinnedy Vandevender reassigns Medicare benefits to Spindletop Mhmr Services (Beaumont, TX). 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 Kinnedy Vandevender's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kinnedy Vandevender accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kinnedy Vandevender 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 Kinnedy Vandevender was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.