MEDICARE: KENNEDY MARRIAGE THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1073451597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNEDY MARRIAGE THERAPY

Provider Business Mailing Address
First Line	:	1515 STATE ST STE 7
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2536
Country	:	US
Telephone Number	:	805-699-6834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 STATE ST STE 7
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2536
Country	:	US
Telephone Number	:	805-699-6834
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JENNIFER LYNN KENNEDY
Credential	:	LMFT
Telephone Number	:	805-364-2688

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “KENNEDY MARRIAGE THERAPY ” Practice Location

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