MS. IDA ROSE KENNA LPC NPI 1508192907

NPI Information

  • NPI: 1508192907
  • Provider Name: MS. IDA ROSE KENNA, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 BROADWAY
    BAYONNE, NJ
    ZIP 07002
  • Phone: (201) 339-9200

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NPI Details

MS. Ida Rose Kenna, LPC is a mental health counselor in Bayonne, NJ with 30 years of experience. MS. Ida Rose Kenna, LPC NPI is 1508192907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 BROADWAY
BAYONNE, NJ
ZIP 07002-818
Phone: (201) 339-9200
Fax: (201) 339-7842

The NPI 1508192907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health37PC00281600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10021806MEDICAIDNEW JERSEY
2BA526562MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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