Edward Kerwin III, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-15858 Issued in AZ

Practice address

1717 N Tucson Blvd
Tucson, AZ 85716-3074

Phone

(520) 955-4809

Fax

(520) 955-4809

NPI assigned

Nov 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Relationship Renovation Counseling Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1952820243

  Mental Health

  NPD

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1083087100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124075",
            "telephone_number": "520-955-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N TUCSON BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163074",
            "telephone_number": "520-955-4809",
            "fax_number": "520-955-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "EDWARD",
        "name_suffix": "III",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC15858",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-15858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-15858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kerry-Henkel, PHD
• Ann Kerschen, PHARM.D.
• Robert Charles Kersey, MD
• Megan E Kershaw, OTR
• Eric Kersjes, MD
• James P Kerwin, MD
• Sheelaa Kesavalu, O.D.
• Michelle Kesler, DPT
• Monica Kesler, LCSW
• Joshua Eric Kessler, PHARMD

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.