Jonathan Leo Kerz, MHC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Tuckahoe, NY
NPI 1043850993 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1043850993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 33704 (NY)
- Practice address
- 92 Yonkers Ave
Tuckahoe, NY 10707-3911 - Phone
- (914) 337-6033
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33704 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 33704 | NY | Yes |
Addresses
Primary practice location
92 Yonkers Ave
Tuckahoe, NY 10707-3911
Mailing address
40 Memorial Hwy Apt 18a
New Rochelle, NY 10801-8332
Phone (917) 664-6119
Other providers in Tuckahoe, NY
- Cindy S. Hyatt
- Ardith Inlaw
- Nicholas Vincent Isabella III
- Monique Johnson
- Jonathan David, MD, PC
- Cassidy A Khan
- Vivian Khedari Depierro
- Sung Jae Kim
- Alesha Kittrell-Mobley
- Victoria Klotz
All providers in Tuckahoe, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.