JEANETTE ANN KENNEY (NPI# 1780206425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780206425 |
| Entity Type | Individual |
| Full Name | JEANETTE ANN KENNEY |
| Other Name | JEANETTE A BECK |
| Credential | LADC |
| Practice Address |
567 Vauxhall Street Ext Waterford CT 06385-4330 |
| Mailing Address |
44 Otis St Norwich CT 06360-4420 |
| Practice Telephone | 8606083404 |
| Practice Fax Number | 8608892876 |
| Mailing Telephone | 8606083404 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
001263 | CT | Behavioral Health & Social Service Providers |
| Street Address |
567 VAUXHALL STREET EXT |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568404820 | Advanced Options, LLC | Social Worker | 567 Vauxhall Street Ext, Suite 314, Waterford, CT 06385-4330 | 2006-06-12 |
| 1861850356 | Heather Hoagland | Social Worker | 567 Vauxhall Street Ext, Suite 207, Waterford, CT 06385-4330 | 2016-01-29 |
| 1225426059 | Cyndia Shook | Social Worker | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2015-01-01 |
| 1619303047 | Edda Mcmanus Lcsw LLC | Social Worker | 567 Vauxhall Street Ext, Suite 314, Waterford, CT 06385-4330 | 2013-09-17 |
| 1043580137 | Katie Worley | Marriage & Family Therapist | 567 Vauxhall Street Ext, Suite #207, Waterford, CT 06385-4330 | 2012-01-05 |
| 1871829804 | Edda H Mcmanus | Social Worker | 567 Vauxhall Street Ext, Ste 314, Waterford, CT 06385-4330 | 2009-10-27 |
| 1760645238 | Deborah A Morgan | Counselor | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2008-07-05 |
| 1316107543 | Optometric Associates,p.c | Optometrist | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2008-06-11 |
| 1053597732 | Samuel Schaperow | Marriage & Family Therapist | 567 Vauxhall Street Ext, Suite 207, Waterford, CT 06385-4330 | 2008-01-13 |
| 1205028214 | Daniel Edmond Bendor | Psychiatry & Neurology | 567 Vauxhall Street Ext, Suite 326, Waterford, CT 06385-4330 | 2007-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| 1992092811 | Jennifer Rae Hurst | Counselor | 1255 N Oakland Blvd Ste 100, Waterford, MI 48327-1578 | 2011-06-29 |
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1477737674 | Christine Joan Humphrey | Counselor | 1435 N. Oakland Blvd., Waterford, MI 48327 | 2007-12-24 |
| 1275743650 | Shania S Alexander | Counselor | 1255 N. Oakland Blvd, Waterford, MI 48327 | 2007-05-23 |
| 1467577510 | Lisa Ann Page | Counselor | 3720 Elizabeth Lake Rd, Waterford, MI 48328-3014 | 2007-03-20 |
| Find all providers in WATERFORD | ||||
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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.