Kenneth James Herlien, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001891 Issued in MO

Practice address

8420 Delmar Blvd.
Suite 209
St Louis, MO 63124

Phone

(314) 517-2124

Fax

(314) 983-0331

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Professional Services, Inc.

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1649305418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1003858382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 DELMAR BLVD.",
            "address_2": "SUITE 209",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63124",
            "telephone_number": "314-517-2124",
            "fax_number": "314-983-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 DELMAR BLVD.",
            "address_2": "SUITE 209",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63124",
            "telephone_number": "314-517-2124",
            "fax_number": "314-983-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLIEN",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "001891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATL BOARD CERT COUNSELOR",
            "identifier": "34375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Salon and Spa,LLC
• Heritage SNF Opco LLC
• Andrea Nicole Herkenhoff, PNP
• Celeste Eileen Herleth, MD
• Kim Herley
• Timothy Oliver Herlihy, ATC, LAT
• Marie Lynn Herling, RPH
• Ashleigh M Herman, RD, LD
• Cheryl Herman, MD
• Saylor Herman

• Mental Health Counselor in St Louis, MO
• Providers in St Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.