DR. SONJI IMANI KENYATTA – Counselor, NPI 1275999484

DR. SONJI IMANI KENYATTA is a healthcare provider. based in Cleveland heights, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C.0700325 (OH). The NPI Number for DR. SONJI IMANI KENYATTA is 1275999484

Main info

Female
Sole Proprietor
19 Years Of Experience
Name
DR. SONJI IMANI KENYATTA
NPI
1275999484
Phone
(216) 533-0134
Address
1323 BURLINGTON RD
Enumeration Date
5 January 2016
Last Update Date
5 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2165330134
Graduation Year
2007 (19 years ago)
PAC ID
3971006156
Professional Enrollment ID
I20250912002144
Address ID
OH441181212CL1323XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for DR. SONJI IMANI KENYATTA

  • 1323 BURLINGTON RD

    CLEVELAND HEIGHTS, OH 441181212

    Phone: (216) 533-0134

    Type: Mailing

  • 22001 FAIRMOUNT BLVD

    SHAKER HEIGHTS, OH 441184819

    Phone: (216) 320-8925

    Fax: (216) 932-2800

    Type: Location

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: 2025-09-12

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
I20250912002144IMental Health CounselorOHTBD

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 44118)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. SONJI IMANI KENYATTA's NPI?
Yes. DR. SONJI IMANI KENYATTA is listed with NPI 1275999484 in the public NPI dataset.
Can I rely on DR. SONJI IMANI KENYATTA being an active provider?
As of the registry snapshot, DR. SONJI IMANI KENYATTA is marked active.
What taxonomy line describes DR. SONJI IMANI KENYATTA?
For research purposes, treat DR. SONJI IMANI KENYATTA as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. SONJI IMANI KENYATTA serve?
DR. SONJI IMANI KENYATTA's listing highlights Cleveland Heights, Ohio; more addresses can appear in NPPES.
Is the information about DR. SONJI IMANI KENYATTA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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