ROXANA SHOHREH KENNEDY (NPI# 1376164269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164269 |
| Entity Type | Individual |
| Full Name | ROXANA SHOHREH KENNEDY |
| Credential | LMFT |
| Practice Address |
925 Dudley Pike Edgewood KY 41017-8120 |
| Practice Telephone | 8593603006 |
| Practice Fax Number | 8593603053 |
| Mailing Telephone | 8593603006 |
| Mailing Fax Number | 8593603053 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 246171 | KY | Behavioral Health & Social Service Providers |
| Street Address |
925 DUDLEY PIKE |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840860 | Bluegrass Behavioral Health Group | Behavioral Analyst | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2017-02-13 |
| 1154946929 | Stephanie Walker | Behavioral Analyst | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-06-08 |
| 1699398677 | Cameron Meador | Counselor | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-05-25 |
| 1477187219 | Ian Aiuto | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1083248827 | Jennifer Knuckles | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1437783271 | Maegan Callebs | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1992339733 | Jade E Bailey | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1427682236 | Pamela Pitts | Counselor | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1023642824 | Jennifer Dieman | Counselor | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1033760210 | Nicole Testory | Behavioral Analyst | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1619257011 | Amy A Rinker | Marriage & Family Therapist | 10005 24th St E, Edgewood, WA 98371-2130 | 2011-08-17 |
| 1457500803 | Jennifer Lee Mettling | Marriage & Family Therapist | 6 Patricia Pl, Edgewood, NM 87015-9748 | 2008-09-10 |
| 1295344117 | Rinker Therapy and Wellness Pllc | Marriage & Family Therapist | 10005 24th St E, Edgewood, WA 98371-2130 | 2020-07-27 |
| 1932731288 | Holly Joy Harden | Marriage & Family Therapist | 10005 24th St E, Edgewood, WA 98371-2130 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408497 | Laura M Green | Marriage & Family Therapist | 3013 Vogue Ave, Louisville, KY 40220-2533 | 2020-08-17 |
| 1407464977 | Sheri R. Puckett | Marriage & Family Therapist | 554 Winding Woods Trl, Mount Washington, KY 40047-6890 | 2020-07-21 |
| 1841818820 | Amanda L Huff | Marriage & Family Therapist | 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 | 2020-07-07 |
| 1265059802 | Marion Curtis Montooth II | Marriage & Family Therapist | 1020 Holly Hill Dr, Frankfort, KY 40601-6134 | 2020-06-30 |
| 1780209692 | Purpose Driven Support Services | Marriage & Family Therapist | 7652 Ky Route 122, Minnie, KY 41651-9056 | 2020-06-16 |
| 1952926867 | Angela Hall | Marriage & Family Therapist | 220 Mount Mercy Dr # 4, Pewee Valley, KY 40056-8024 | 2020-06-16 |
| 1265052153 | Jessica Craven | Marriage & Family Therapist | 5500 Matterhorn Dr, Louisville, KY 40216-1327 | 2020-04-21 |
| 1609404227 | Don P Delafield | Marriage & Family Therapist | 731 Speckman Rd, Louisville, KY 40243-2826 | 2020-03-30 |
| 1932739869 | Sara Ann Semenick | Marriage & Family Therapist | 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 | 2020-01-20 |
| 1417594334 | Shawn L Stinson Sr. | Marriage & Family Therapist | 201 S Peterson Ave, Louisville, KY 40206-2573 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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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.