Kathleen Susan Kerr, BA, NCPRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

P00659 Issued in NJ

Practice address

110 American Blvd Ste 5
Turnersville, NJ 08012-1767

Phone

(856) 352-5999

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

No

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

Bachelor of Arts

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.

• Ars of New Jersey LLC

  • Methadone Clinic
  • Turnersville, NJ
  • NPI 1275073546
  NPD (past)

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1154069185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 STANTON AVE",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083223232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AMERICAN BLVD STE 5",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121767",
            "telephone_number": "856-352-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "credential": "BA, NCPRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NJ",
            "license": "P00659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Medical Group Practice, P.C.D/B/a Kennedy Health Alliance
• Kennedy Medical Group Practice, PC
• Kennedy University Hospital, Inc.
• Elyse Beth Kernis, DO
• Steven J Kernis, M.D.
• Kic Behavioral & Counseling Services LLC
• Brooke Kieserman
• Alexis Kilduff, LPC
• Krista H King, M.D.
• Theodore G Koerner, DO

• Peer Specialist in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.