MR. GREG KENNON (NPI# 1750502670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750502670 |
| Entity Type | Individual |
| Full Name | MR. GREG KENNON |
| Other Name | MR. GREGORY CARL KENNON |
| Credential | LCDC |
| Practice Address |
1631 E 2nd St Ste A Austin TX 78702-4491 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5124726261 |
| Practice Fax Number | 5124725857 |
| Mailing Telephone | 5124457787 |
| Mailing Fax Number | 5124404059 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2707 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1631 E 2ND ST STE A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346353398 | Thomas Sprague | Psychiatry & Neurology | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2006-08-16 |
| 1992213136 | Ada Castillo | Counselor | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2018-01-22 |
| 1144744996 | Christina Nicole Allen | Counselor | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2017-08-02 |
| 1548651441 | Kristin Bauer | Licensed Practical Nurse | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2015-02-12 |
| 1043614209 | Vanessa Vega | Counselor | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2014-10-17 |
| 1366878480 | Connor C. Coleman | Counselor | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2013-09-20 |
| 1891135497 | Emily H. Woo | Licensed Practical Nurse | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2013-06-27 |
| 1316215577 | Michael A. Silva | Counselor | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2011-12-02 |
| 1154699304 | Joshua Hairell | Licensed Practical Nurse | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2011-12-02 |
| 1134432610 | Brandee Terrell | Counselor | 1631 E 2nd St Ste A, Austin, TX 78702-4491 | 2010-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
| Find all providers in zip 78702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
| 1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
| 1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
| 1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
| 1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
| Find all providers in AUSTIN | ||||
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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.