ROBERT JOHN KENENDY (NPI# 1780817510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780817510 |
| Entity Type | Individual |
| Full Name | ROBERT JOHN KENENDY |
| Credential | LCPCC |
| Practice Address |
4 State St Suite A Ellsworth ME 04605-1938 |
| Mailing Address |
96 State St Ellsworth ME 04605-1924 |
| Practice Telephone | 2076640023 |
| Mailing Telephone | 2076674412 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
XL3103 | ME | Behavioral Health & Social Service Providers |
| Street Address |
4 STATE ST SUITE A |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346539731 | Jeanne Louise Lambrecht | Counselor | 26152 E 1300 North Rd, Ellsworth, IL 61737-9526 | 2011-04-06 |
| 1063575876 | Lucia Patat Young | Counselor | 114 State St, Ellsworth, ME 04605-1831 | 2006-12-19 |
| 1033206321 | Charisse Astbury Stanko | Counselor | 226 High St, Ellsworth, ME 04605-1742 | 2006-10-06 |
| 1033204177 | Lynn Benson | Counselor | 10 Hancock St, Ellsworth, ME 04605-2015 | 2006-10-04 |
| 1104830785 | Mark Clifford Gillen | Counselor | 257 N Piety St, Ellsworth, WI 54011-5056 | 2006-07-28 |
| 1821515339 | Pamela Jean Gagnon Da Silva | Counselor | 733 Bangor Rd, Ellsworth, ME 04605-3580 | 2017-08-25 |
| 1982958344 | Stacey G. Wood | Counselor | 415 Water St, Ellsworth, ME 04605-2116 | 2012-11-06 |
| 1477701225 | Kerry Beth Shea | Counselor | 53 Church St, Ellsworth, ME 04605-1915 | 2008-09-05 |
| 1487831434 | Cheryl M Nelson | Counselor | 194 Main St, Ellsworth, ME 04605-1939 | 2008-01-22 |
| 1558577510 | Kelly Elizabeth Pearson | Counselor | 415 Water St, Ellsworth, ME 04605-2116 | 2007-05-15 |
| Find all providers in ELLSWORTH | ||||
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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.