DEBORAH KENNEDY (NPI# 1235420167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235420167 |
| Entity Type | Individual |
| Full Name | DEBORAH KENNEDY |
| Credential | LPC |
| Practice Address |
527 Ne Fern Ave Dallas OR 97338 |
| Mailing Address |
527 Ne Fern Ave Dallas OR 97338-1891 |
| Practice Telephone | 5037987033 |
| Mailing Telephone | 5037987033 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 Liberty St Ne Ste 2, Salem, OR 973012463 | 5037987033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821408469 | Deborah Kennedy | Speech-Language Pathologist | 341 Chestnut St, Painesville, OH 44077-2785 | 2014-05-05 |
| 1326136359 | Deborah Ann Kennedy | Dietitian, Registered | 120 N 5th St, Crockett, TX 75835-2010 | 2006-10-11 |
| 1588221253 | Deborah Kennedy | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-05-28 |
| 1649730235 | Deborah Franchezca Kennedy | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-21 |
| 1992097620 | Deborah Ann Kennedy | Specialist | 40 Park Ln, Early Education Center, Highland, NY 12528-2824 | 2011-05-13 |
| 1467598532 | Deborah Kennedy | Occupational Therapist | 410 10th Ave W, Palmetto, FL 34221-5032 | 2007-01-29 |
| 1205879129 | Deborah J Kennedy | Specialist | 3525 Olentangy River Rd, Suite 6350, Columbus, OH 43214-3937 | 2006-06-14 |
| 1861457293 | Deborah M Kennedy | Registered Nurse | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2006-04-19 |
| 1093702037 | Deborah H Kennedy | Anesthesiology | 1214 Coolidge Blvd, Lafayette, LA 70503 | 2005-10-04 |
| Street Address |
527 NE FERN AVE |
| City | DALLAS |
| State | OR |
| Zip Code | 97338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| 1912116161 | Nan Cecile Cordy | Counselor | 211 E. Ellendale Suite #7, Dallas, OR 97338 | 2007-05-22 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| 1316546385 | Paola Guadalupe Garcia | Counselor | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 |
| 1447858378 | Theresa Lashonda Lucie Moody | Counselor | 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 | 2020-10-13 |
| 1609473693 | Donna Smith | Counselor | 3766 Seguin Dr, Dallas, TX 75220-6329 | 2020-10-03 |
| 1659978849 | Brian Williams | Counselor | 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 | 2020-10-01 |
| 1285241349 | Nichole Gabrielle Brown | Counselor | 5045 Thunder Rd, Dallas, TX 75244-6546 | 2020-09-23 |
| 1366058588 | Vicki Smith-lockhart | Counselor | 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 | 2020-09-22 |
| 1881206928 | Angela Grace Leach | Counselor | 6511 Walnut Hill Ln, Dallas, TX 75230-5318 | 2020-08-19 |
| 1093324055 | Alita Rose Andrews | Counselor | 3905 Highgrove Dr, Dallas, TX 75220-3753 | 2020-07-27 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.