Kerry Ann Underwood, MS, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1601004 Issued in AR

Practice address

409 W Poplar St
Rogers, AR 72756-4560

Phone

(479) 986-8655

Fax

(479) 633-9398

NPI assigned

Sep 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• SK & Ku Counseling

  • Professional Counselor
  • Fort Smith, AR
  • NPI 1598490955
  NPD

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1013268531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W. POPLAR STREET",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564560",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1601004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lyn Ubben, MS, LAC
• Bradley Robert Umbarger, MD
• Tom Umphress
• Gabriel Chad Underwood, CRNA
• Kellie Nicole Underwood
• United Medical, PA
• Universal Medical Supply Corp
• Unruh Chiropractic & Wellness Center
• John J Unruh, DC
• Urology Associates of NW Arkansas

• Professional Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.