Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356749022 Individual Practitioner Male Practitioner

Benjamin Adam Kennert , LP, LBA

Psychologist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Benjamin Kennert, LP, LBA is a registered healthcare professional specializing in Psychologist in Grand Rapids, MI. Practice services are available at 35 MICHIGAN ST NE STE 5201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35 Michigan St Ne Ste 5201

Grand Rapids, MI 495032530

Telephone 6162672830
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
210 Specialists

Practicing in Grand Rapids, MI (2669 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-18
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301016091

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Amy Pugh , PsyD

Psychologist - Clinical Child & Adolescent

NPI 1003141359

Doctor of Psychology (Psy.D.)

Dr. Lara De Stefano , MD

Psychiatry & Neurology - Psychiatry

NPI 1174018337

Doctor of Medicine (M.D.)

Dr. Caroline Gonynor , PhD, MPH

Psychologist - Clinical

NPI 1285409409

Doctor of Philosophy (Ph.D.), Master of Public Health

Dr. Elizabeth Davis , PhD

Psychologist - Clinical

NPI 1316387442

Doctor of Philosophy (Ph.D.)

Sierra Clouse , LMSW

Social Worker - Clinical

NPI 1336795517

Licensed Master Social Worker

Dr. Seema Mahdavi , PhD

Psychologist - Clinical

NPI 1427505890

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2025

Psychologist (License #6301016091 in MI)

📍
Updated Practice Location December 30, 2024

Registered at 35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 495032530 (Tel: 6162672830)

📍
Updated Business Mailing Address December 30, 2024

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2024

Psychologist (License #10903 in NE)

📍
Updated Practice Location December 03, 2020

Registered at 854 WASHINGTON AVE STE 600, HOLLAND, MI 494237141 (Tel: 6164992218)

📍
Updated Business Mailing Address December 03, 2020

Registered at 854 WASHINGTON AVE STE 600, HOLLAND, MI 494237141 (Tel: 6164992218)

👤
Provider Name / Credentials Updated December 03, 2020

Recorded as BENJAMIN KENNERT, LP, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2020

Psychologist (License #6301016091 in MI)

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2016

Registered at 444 S 44TH ST, OMAHA, NE 681313727 (Tel: 2692674195)

📍
Updated Business Mailing Address July 15, 2016

Registered at 3410 MONTROVIA BLVD, APT 502, BELLEVUE, NE 681231374 (Tel: 2692674195)

👤
Provider Name / Credentials Updated July 15, 2016

Recorded as BENJAMIN KENNERT, PLMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Psychologist (License #10903 in NE)

🟢
Initial NPI Registration & Enumeration December 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356749022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2014
Last Update: April 18, 2025
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.