BONNIE KENNEDY (M.S.) – Mental Health Counselor, NPI 1669706362

BONNIE KENNEDY (M.S.) is a healthcare provider. based in Miami, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S.. They hold a License No. MH11499 (FL). The NPI Number for BONNIE KENNEDY (M.S.) is 1669706362

Main info

Female
20 Years Of Experience
Name
BONNIE KENNEDY (M.S.)
NPI
1669706362
Phone
(305) 235-2616
Address
22790 SW 112TH AVE
Enumeration Date
28 September 2009
Last Update Date
9 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052352616
Graduation Year
2006 (20 years ago)
PAC ID
6901143817
Group Practice PAC ID
5799817094
Professional Enrollment ID
I20240213001022
Address ID
FL331707602MI22790AVEX415
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for BONNIE KENNEDY (M.S.)

  • 22790, Southwest 112th Avenue, Miami-Dade County, Florida, 33170, United States

    MIAMI, FL 331707602

    Phone: (305) 235-2616

    Fax: (305) 235-6178

    Type: Location

  • 8590, Southwest 212th Street, Lakes by the Bay, Cutler Bay, Miami-Dade County, Florida, 33189, United States

    #212

    CUTLER BAY, FL 331893755

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240213001022IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33170)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799817094View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

What is the registry number for BONNIE KENNEDY (M.S.)?
The registry entry for BONNIE KENNEDY (M.S.) shows NPI 1669706362.
Quick check: is BONNIE KENNEDY (M.S.) active?
Public NPPES data shows BONNIE KENNEDY (M.S.) with an active NPI status right now.
Which specialty label fits BONNIE KENNEDY (M.S.)?
NPPES ties BONNIE KENNEDY (M.S.) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BONNIE KENNEDY (M.S.)?
The directory associates BONNIE KENNEDY (M.S.) with Miami, Florida. Check all listed addresses for suites or satellite offices.
Who maintains BONNIE KENNEDY (M.S.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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