MRS. LISA KENNEDY (NPI# 1356719637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356719637 |
| Entity Type | Individual |
| Full Name | MRS. LISA KENNEDY |
| Credential | LMFT |
| Practice Address |
2095 W 6th Ave Suite 206 Broomfield CO 80020-1870 |
| Mailing Address |
565 Saint Andrews Ln Louisville CO 80027-3277 |
| Practice Telephone | 9515153477 |
| Practice Fax Number | 7206688954 |
| Mailing Telephone | 9515153477 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 853 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1710296009 | Lisa Kennedy | Dietitian, Registered | 4635 Ne Stallings Dr Ste 104, Nacogdoches, TX 75965 | 2010-10-04 |
| 1407822265 | Lisa A Kennedy | Optometrist | 4515 Southlake Pkwy, Birmingham, AL 35244-3317 | 2006-02-23 |
| 1831698968 | Lisa M Kennedy | Physical Therapist | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2018-02-05 |
| 1124422332 | Lisa Kennedy | Counselor | 3525 Colby Ave Ste 200, Everett, WA 98201-4782 | 2014-10-17 |
| 1033519848 | Lisa Kennedy | Audiologist-Hearing Aid Fitter | 974 Sw Veterans Way, Suite 2, Redmond, OR 97756-2564 | 2014-08-28 |
| 1740539238 | Lisa Kennedy | Counselor | 11027 Burbank Blvd, North Hollywood, CA 91601-2431 | 2012-08-30 |
| 1215223508 | Lisa Kennedy | Speech-Language Pathologist | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-06-24 |
| 1205136751 | Lisa T Kennedy | Pharmacist | 6460 E Yale Ave, Denver, CO 80222-7156 | 2010-11-01 |
| 1578570743 | Lisa Shea Kennedy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-08-01 |
| Street Address |
2095 W 6TH AVE SUITE 206 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265714885 | Lynne D. Willbanks | Counselor | 2095 W 6th Ave, Suite 205, Broomfield, CO 80020-1870 | 2011-09-10 |
| 1699207191 | Kailo Acupuncture and Massage, Incorporated | Acupuncturist | 2095 W 6th Ave, Suite 115, Broomfield, CO 80020-1870 | 2017-04-03 |
| 1043757610 | Robert Scott Malone | Acupuncturist | 2095 W 6th Ave, Ste 115, Broomfield, CO 80020-1870 | 2017-01-20 |
| 1508302845 | Kailo Corporation | Acupuncturist | 2095 W 6th Ave, Suite 115, Broomfield, CO 80020-1870 | 2017-01-10 |
| 1053867119 | Melissa Lefcourt | Massage Therapist | 2095 W 6th Ave, Suite 115, Broomfield, CO 80020-1870 | 2016-08-29 |
| 1750740270 | Alejandra Stuart | Counselor | 2095 W 6th Ave, #212, Broomfield, CO 80020-1870 | 2016-02-11 |
| 1306258801 | In-depth Therapy & Associates | Community/Behavioral Health | 2095 W 6th Ave, #205, Broomfield, CO 80020-1870 | 2014-06-02 |
| 1467885491 | Theresa Casares | Massage Therapist | 2095 W 6th Ave, Suite 103, Broomfield, CO 80020-1870 | 2013-08-13 |
| 1063785285 | Robert Spencer Hundley | Massage Therapist | 2095 W 6th Ave, Suite 103, Broomfield, CO 80020-1870 | 2012-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049344 | Jenna Peterson | Marriage & Family Therapist | 390 Interlocken Cres Ste 329, Broomfield, CO 80021-8038 | 2018-07-03 |
| 1144730631 | Robyn Mourning | Marriage & Family Therapist | 6363 W 120th Ave Ste 306, Broomfield, CO 80020-2406 | 2017-10-10 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1467796615 | Roy Bryan Alston | Marriage & Family Therapist | 11844 Corporate Way, Broomfield, CO 80021-2504 | 2012-11-11 |
| 1114175395 | Jacqueline C Saunders | Marriage & Family Therapist | 80 Garden Ctr Ste 56, Broomfield, CO 80020 | 2008-08-31 |
| 1619063377 | Mars Ray Robinson | Marriage & Family Therapist | 3406 Molly Ln, Broomfield, CO 80023-4519 | 2006-10-04 |
| 1780140384 | Heather Gomez | Marriage & Family Therapist | 2095 W 6th Ave Ste 205, Broomfield, CO 80020-1880 | 2019-02-19 |
| 1790115095 | Cultural Interpretations, LLC | Marriage & Family Therapist | 6343 W 120th Ave, Broomfield, CO 80020-3711 | 2013-11-22 |
| 1366760720 | Barbara A Stratton | Marriage & Family Therapist | 700 Burbank St, Broomfield, CO 80020-1658 | 2010-05-10 |
| 1033327887 | C. Blair Skinner | Marriage & Family Therapist | 700 Burbank St, Broomfield, CO 80020-1658 | 2007-05-17 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on MRS. LISA KENNEDY.
| 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.