Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Kennedy

Individual provider Professional Counselor · NPI 1952938896

Samantha Kennedy is a Mental Health Counselor in Red Wing, Minnesota. Qualified in 2017, 9 years ago. Practices with Fernbrook Family Center Inc, a 31-clinician group.

Years since qualifying
9
In the registry since
2020
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Practice location Address checks out

129 Hedin Ave
Red Wing, MN 55066-1907
Phone: (651) 212-7429
Fax: (507) 446-0431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1952938896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020
Mailing address2575 Harvest Ln, Owatonna, MN 55060-4305

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fernbrook Family Center Inc — 31 clinicians
Accepts Medicare assignment Not indicated

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