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Deactivated NPI 1386817153 Deactivated / Inactive NPI Female Practitioner

Katherine Kennedy , LPC

Counselor - Professional • El Paso, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Katherine Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2008
NPI Deactivation Date June 18, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Katherine Kennedy, LPC was a registered Counselor - Professional practicing in El Paso, TX. Throughout an active medical career spanning 13 years, Katherine Kennedy provided care at the practice location at 1600 MONTANA AVE until profile deactivation on 2021-06-18.

Practice Location & Contact Primary Location

Practice Address

1600 Montana Ave

El Paso, TX 799025622

Telephone 9158873410
Associated Practice Facility / Clinic
🏢 Centro San Vicente Facility NPI 1942670328

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
479 Specialists

Practicing in El Paso, TX (21203 Statewide)

Telehealth Adoption Rate
2.5% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 19905

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Andres Baeza , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003454174

Nurse Practitioner

Elisa Dobler , LCSW

Social Worker - Clinical

NPI 1053060160

Licensed Clinical Social Worker

Erika Varela

Counselor - Professional

NPI 1053723999
Christian Skertchly , LCSW

Social Worker - Clinical

NPI 1053848671

Licensed Clinical Social Worker

NPI 1063256865

Licensed Master Social Worker

Cady Erickson , LCSW

Social Worker - Clinical

NPI 1063745537

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 18, 2021

Record deactivated on June 18, 2021

NPI Profile Active April 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2008

Registered at 1600 MONTANA AVE, EL PASO, TX 799025622 (Tel: 9158873410)

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Updated Business Mailing Address April 11, 2008

Registered at 1600 MONTANA AVE, EL PASO, TX 799025622 (Tel: 9158873410)

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Provider Name / Credentials Updated April 11, 2008

Recorded as KATHERINE KENNEDY, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2008

Counselor (License #19905 in TX)

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Initial NPI Registration & Enumeration April 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386817153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2008
Last Update: April 11, 2008
Deactivation Date: June 18, 2021

Mailing Address

1600 Montana Ave

El Paso, TX 799025622

Phone: 9158873410

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.