Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Ida Rose Kenna, LPC

Individual provider Mental Health Counselor · NPI 1508192907

MS. Ida Rose Kenna, LPC is a Mental Health Counselor in Bayonne, New Jersey. Qualified in 1996, 30 years ago. Practices with Creative Care Psychiatry LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

601 Broadway
Bayonne, NJ 07002-3818
Phone: (201) 339-9200
Fax: (201) 339-7842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37PC00281600 (NJ)

Record details

NPI number1508192907
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009
Mailing address601 Broadway, Bayonne, NJ 07002-3818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Creative Care Psychiatry Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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