WILLIAM T KENNEDY JR.


Address: 715 W Anna St, Grand Island, NE 68801-6713
Phone: 3083980350

WILLIAM T KENNEDY JR. (NPI# 1841330784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841330784
Entity Type Individual
Full Name WILLIAM T KENNEDY JR.
Credential L.A.D.C., PLMHP
Practice Address 715 W Anna St
Grand Island
NE 68801-6713
Mailing Address 2616 W North Front St
Grand Island
NE 68803-4234
Practice Telephone 3083980350
Practice Fax Number 3083980352
Mailing Telephone 3083826575
Enumeration Date 2007-02-08
Last Update Date 2007-11-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LADC-621 NE Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
8362 NE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE MENTAL HEALTH COUNSELOR PLMHP 8362 01
NE LICENSE ALCOHOL DRUG COUN LADC-621 01
NE BLUECROSS BLUESHIELD 98340 01
NE 10025551800 05

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Office Location

Street Address 715 W ANNA ST
City GRAND ISLAND
State NE
Zip Code 68801-6713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497821219 Regina Kay Juhl Counselor 715 W Anna St, Grand Island, NE 68801-6713 2006-11-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922580380 Ali Renee Meister Massage Therapist 114 W 3rd Street, Grand Island, NE 68801 2018-09-03
1033611587 Austan Reid Pomajzl Chiropractor 3008 W Stolley Park Rd Suite 3, Grand Island, NE 68801 2018-03-01
1952849226 Abby Kluna Occupational Therapy Assistant 4911 Baker Ave, Grand Island, NE 68801 2017-02-07
1194177386 Elia Rivera Counselor 312 N Elm St Ste 112, Grand Island, NE 68801 2016-07-12
1710332101 B & R Stores Inc Pharmacy 710 West State St, Grand Island, NE 68801 2016-05-04
1013332550 Nathaniel Jones Physical Therapy Assistant 1405 West Highway 34, Grand Island, NE 68801 2014-02-20
1659455004 Sarah Spellbrink Counselor 312 N Elm St Ste 115, Grand Island, NE 68801 2006-10-24
1356451439 Dawn Gay Nahrstedt Nurse Practitioner 1300 S Locust, Ste A, Grand Island, NE 68801 2006-08-30
1306879275 Bens Drug Store Inc Pharmacy 123 West Third, Grand Island, NE 68801 2006-07-07
1689631327 Sandra Leigh Borden Nurse Practitioner 1300 S Locust St, Ste A, Grand Island, NE 68801 2006-04-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467053884 Christopher Patrin Counselor 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 2020-11-03
1073128252 Hilary J Pederson Counselor 2708 W Koenig St, Grand Island, NE 68803-5749 2020-09-14
1821628470 Amy Elaine Aufenkamp Counselor 1811 W 2nd St Ste 105, Grand Island, NE 68803-5400 2020-01-23
1942848593 Specialized Outpatient Services Counselor 1811 West 2nd Street Suite 450, Grand Island, NE 68803 2019-12-13
1740764372 Elizabeth Ann Todd Counselor 1811 W 2nd St Ste 235, Grand Island, NE 68803-5463 2018-09-19
1922519206 Staci Huston Counselor 404 W Charles St, Grand Island, NE 68801-6508 2017-10-13
1316460231 Tammy Erickson Counseling, LLC Counselor 2121 N Webb Rd Ste 307, Grand Island, NE 68803-1751 2017-07-23
1093266462 Jason Masker Counselor 131 Windham Ln, Grand Island, NY 14072-2099 2016-10-20
1477000925 Kristy Hruby, Lmhp, Ladc Counselor 4131 Vermont Ave, Grand Island, NE 68803-1064 2016-09-01
1659736585 Sarah Larsen Astrones PC Counselor 1811 W 2nd St Ste 475, Grand Island, NE 68803-5472 2015-12-18
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Competitor

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City GRAND ISLAND
Zip Code 68801

Improve Information

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Dataset Information

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.

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