Mr Kyle Matthew Kennedy, LPC in Juneau, AK - Medicare Mental Health Counselor Provider

Mr Kyle Matthew Kennedy, LPC is a medicare enrolled "Counselor - Professional" provider in Juneau, Alaska. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Southeast Alaska Regional Health Consortium and his current practice location is 3051 Vintage Blvd, Ste 200, Juneau, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 364-4445.

Mr Kyle Matthew Kennedy is licensed to practice in Alaska (license number 219896) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255082772.

Contact Information

	Mr Kyle Matthew Kennedy, LPC
	3051 Vintage Blvd, Ste 200, Juneau, AK 99801
	(907) 364-4445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kyle Matthew Kennedy
Gender	Male
Speciality	Mental Health Counselor
Experience	5 Years
Location	3051 Vintage Blvd, Juneau, Alaska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kyle Matthew Kennedy graduated from medical school in 2021

NPI Data:

NPI Number: 1255082772
Provider Enumeration Date: 01/17/2022
Last Update Date: 12/19/2025

Medicare PECOS Information:

PECOS PAC ID: 4688114754
Enrollment ID: I20240904003886

Medical Identifiers

Medical identifiers for Mr Kyle Matthew Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255082772	NPI	-	NPPES
1736303	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	219896 (Alaska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Alaska Regional Health Consortium	1456265362	298

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kyle Matthew Kennedy allows following entities to bill medicare on his behalf.

Entity Name	Southeast Alaska Regional Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631

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. Mr Kyle Matthew Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kyle Matthew Kennedy, LPC 3100 Channel Dr Ste 300, Juneau, AK 99801-7837 Ph: (907) 463-4074	Mr Kyle Matthew Kennedy, LPC 3051 Vintage Blvd, Ste 200, Juneau, AK 99801 Ph: (907) 364-4445

Reviews and Comments

Counselor in Juneau, AK

Sanaz Ghorbanpoor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303
Lila A Searer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 Fax: 907-463-6858
Leslye Ann Galey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3260 Hospital Dr, Juneau, AK 99801 Phone: 907-796-8498
Kayli Backes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 Fax: 907-463-6858
Emily Keithahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9191 James Blvd, Juneau, AK 99801 Phone: 907-723-3591
Justin Parish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303
Ms. Donna M Zahina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5594 Aisek St., Juneau, AK 99801 Phone: 907-780-3048 Fax: 907-780-3053

Mr Kyle Matthew Kennedy, LPC - Medicare Counselor in Juneau, AK