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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 04, 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
Phone(409) 839-1000
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
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Medicare Participation & PECOS CMS

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

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.

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.

DEREK PAUL THOMAS LPC
Counselor (Mental Health)
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1000
BECKY SUE HANTZ LCDC
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1000
MRS. NINA ELIZABETH CRABTREE LCDC
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1000
AMANDA BROOKE SEAL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 779-5139
BETTY JO REYNOLDS LPC
Counselor (Mental Health)
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1000
MS. ROSALYN COBBOLD LCDC
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1000
SPINDLETOP MHMR SERVICES
Social Worker
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1000
KIMBERLY DELUNA LCDC
Counselor (Addiction (Substance Use Disorder))
2750 S 8TH ST
BEAUMONT, TX 77701
Jefferson County (409) 839-1020

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.

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.