Active NPI
James Robert Kerr, LAC
- Addiction (Substance Use Disorder) Counselor
- Concordia, KS
National Provider Identifier
1104163310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 135
- Practice address
- 520 Washington Street
Suite C
Concordia, KS 66901 - Phone
- (785) 243-4164
- Fax
- (785) 243-4164
- NPI assigned
- Jan 8, 2013
- Last updated
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 135 | KS | Primary |
Addresses
Primary practice location
520 Washington Street
Suite C
Concordia, KS 66901
Mailing address
PO Box 254
Concordia, KS 66901
Phone (785) 243-4164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200363150A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerr's Counseling | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Addiction Recovery Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Concordia, KS
- NPI 1992339261
-
- Addiction (Substance Use Disorder) Counselor
- Concordia, KS
- NPI 1750489282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1104163310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "66901",
"telephone_number": "785-243-4164",
"fax_number": "785-243-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 WASHINGTON STREET",
"address_2": "SUITE C",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "66901",
"telephone_number": "785-243-4164",
"fax_number": "785-243-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200363150A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concordia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.