Kennedy Brooks
Counselor, Mental Health in Canby, OR. Individual provider (NPI-1).
NPI number1831084136
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1831084136
- Entity type
- Individual (NPI-1)
- Name
- Kennedy Brooks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
22018 S Central Point RdCanby, OR 97013-8705
Phone 503-221-4531
Mailing address
22018 S Central Point RdCanby, OR 97013-8705
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 51 Mental Health Counselor providers in Canby · All 388 providers in Canby
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