IndividualActive
Kaelyn Kennedy
NPI 1104511609 · Professional Counselor · San Diego, CA
Kaelyn Kennedy is a Professional Counselor provider in San Diego, CA (NPI 1104511609).
Provider details
- NPI number
- 1104511609
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LPCC16582 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3033 Fifth Ave Ste 230
San Diego, CA 92103-5873
Phone: (760) 374-4295
Street-level locationGet directions
Mailing address
3033 Fifth Ave Ste 230
San Diego, CA 92103-5873
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Kaelyn Kennedy's NPI number?
- Kaelyn Kennedy's National Provider Identifier (NPI) is 1104511609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaelyn Kennedy's specialty?
- Kaelyn Kennedy is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kaelyn Kennedy located?
- Kaelyn Kennedy's practice location on file with NPPES is 3033 Fifth Ave Ste 230, San Diego, CA 92103-5873.
- What is Kaelyn Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Kaelyn Kennedy is (760) 374-4295.
- Is Kaelyn Kennedy's NPI active?
- Yes — Kaelyn Kennedy's NPI (1104511609) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.