Ilyse Kennedy, LPC - Counselor in Austin, TX

Ilyse Kennedy, LPC is a Counselor - Mental Health based in Austin, Texas. Ilyse Kennedy is licensed to practice in Texas (license number 78789) and her current practice location is 2113 Riddle Rd, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at (512) 766-9702.

NPI number for Ilyse Kennedy is 1073157855 and her current mailing address is 6609 Manchaca Rd, Austin, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073157855.

Contact Information

Ilyse Kennedy, LPC
2113 Riddle Rd,
Austin, TX 78748-1305
(512) 766-9702
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameIlyse Kennedy
GenderFemale
SpecialityCounselor - Mental Health
Location2113 Riddle Rd, Austin, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073157855
  • Provider Enumeration Date: 11/04/2019
  • Last Update Date: 11/05/2022

Medical Identifiers

Medical identifiers for Ilyse Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073157855NPI-NPPES
84-3455289OtherTXEINS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 78789 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ilyse Kennedy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ilyse Kennedy, LPC
6609 Manchaca Rd,
Austin, TX 78745-4934

Ph: (512) 766-9702
Ilyse Kennedy, LPC
2113 Riddle Rd,
Austin, TX 78748-1305

Ph: (512) 766-9702

Reviews and Comments


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