MR. JACK TIMOTHY KENNEDY (NPI# 1861557829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861557829 |
| Entity Type | Individual |
| Full Name | MR. JACK TIMOTHY KENNEDY |
| Credential | M.A. LICDC |
| Practice Address |
8833 Chapelsquare Ln Cincinnati OH 45249-4705 |
| Practice Telephone | 5137749444 |
| Practice Fax Number | 5137749888 |
| Mailing Telephone | 5137749444 |
| Mailing Fax Number | 5137749888 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
991698 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679847958 | Jack A. Kennedy | Pharmacist | 4924 Somers Ave, Trevose, PA 19053-4863 | 2012-03-03 |
| Street Address |
8833 CHAPELSQUARE LN |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45249-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508948126 | Abdelrhman A Soliman | Psychiatry & Neurology | 8833 Chapelsquare Ln, Cincinnati, OH 45249-4705 | 2006-10-20 |
| 1558510925 | Carolyn Hollo Little | Social Worker | 8833 Chapelsquare Ln, Cincinnati, OH 45249-4705 | 2008-09-10 |
| 1881758076 | Carolynn E Zugschwert | Counselor | 8833 Chapelsquare Ln, Cincinnati, OH 45249-4705 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668526 | Kayla Murray | Midwife | 8763 Weller Road, Cincinnati, OH 45249 | 2017-06-08 |
| 1992041214 | Ohio River Laboratories, LLC | Clinical Medical Laboratory | Ohio River Laboratories, LLC, 1841 Mason Montgomery Rd, Unit 1c, Cincinnati, OH 45249 | 2012-12-13 |
| 1073832762 | Aurora Home Care Inc. | In Home Supportive Care | 9042 Winthrop Drive, Cincinnati, OH 45249 | 2010-05-20 |
| 1407012842 | Dr Jennifer Munson Kidney Care Specialist LLC | Internal Medicine | 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 | 2008-08-05 |
| 1114105244 | Individual Care Center | Community/Behavioral Health | 8833 Chapel Square Lane, Cincinnati, OH 45249 | 2008-01-31 |
| 1083823553 | James Michael Fuchs | Dentist | 8805 Governors Hill, #105, Cincinnati, OH 45249 | 2007-05-22 |
| 1871715474 | Conrad Thomas Landing | Physical Therapist | 8650 Govenors Hill Dr., Cincinnati, OH 45249 | 2007-05-03 |
| 1649317108 | Dr. E. M. Kirstein & Associates, Inc. | Optometrist | 8211 Cornell Rd., Suite 510, Cincinnati, OH 45249 | 2007-01-31 |
| 1790821791 | Melissa Elaine Bowman | Optometrist | 11919 Montgomery Rd, Cincinnati, OH 45249 | 2007-01-29 |
| 1477621258 | Sergio L Mezcua | Internal Medicine | 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 | 2006-12-01 |
| Find all providers in zip 45249 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050827 | Sonya L Dowdell | Counselor | 3127 Worthington Ave Apt 3, Cincinnati, OH 45211-7331 | 2020-07-10 |
| 1487273694 | Sharon White | Counselor | 123 Burley Cir, Cincinnati, OH 45218-1339 | 2020-04-09 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1982235636 | Narcotic Addiction Recovery Center LLC | Counselor | 2123 Auburn Ave Ste 310, Cincinnati, OH 45219-2906 | 2020-01-31 |
| 1699316398 | Babette Mccray | Counselor | 909 Sycamore St Ste 400, Cincinnati, OH 45202-1306 | 2019-10-03 |
| 1689223158 | Michael Brubaker | Counselor | 2610 Mcmicken Circle University of Cincinnati, Cincinnati, OH 45221-0001 | 2019-09-08 |
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1124598289 | Arthur Wilson Jr. | Counselor | 670 Northland Blvd Unit 46442, Cincinnati, OH 45246-7614 | 2018-12-03 |
| 1679049233 | Tiesha G Powell | Counselor | 1 N Commerce Park Dr # 318, Cincinnati, OH 45215-3187 | 2018-10-22 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45249 |
Please comment or provide details below to improve the information on MR. JACK TIMOTHY KENNEDY.
| 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.