KENNEDY AUSTIN FOUNDATION NPI 1841168424

NPI Information

  • NPI: 1841168424
  • Provider Name: KENNEDY AUSTIN FOUNDATION
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2040 N GAREY AVE
    POMONA, CA
    ZIP 91767
  • Phone: (909) 808-6866

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NPI Details

KENNEDY AUSTIN FOUNDATION is a mental health counselor in Pomona, CA. KENNEDY AUSTIN FOUNDATION NPI is 1841168424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2040 N GAREY AVE
POMONA, CA
ZIP 91767-722
Phone: (909) 808-6866

The provider's authorized official is Ethel M Gardner .
The authorized official title is C.e.o and has the following contact phone number (951) 475-0742.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

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 HealthYes

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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