Kevin Anthony Cervantes, BSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60833022 Issued in WA

Practice address

500 N Morain St Ste 1250
Kennewick, WA 99336-2967

Phone

(509) 783-0500

NPI assigned

Jun 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Our Lady of Lourdes Hosptial at Pasco

  • Community/Behavioral Health Agency
  • Kennewick, WA
  • NPI 1114476496
  NPD (past)

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1154945640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MORAIN ST STE 1250",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362967",
            "telephone_number": "509-783-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MORAIN ST STE 1250",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362967",
            "telephone_number": "509-783-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Morain St Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362967",
            "country_code": "US",
            "telephone_number": "509-783-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "KEVIN",
        "middle_name": "ANTHONY",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60833022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kevin.cervantes@lourdesonline.org",
            "affiliation": "N",
            "address_1": "500 N Morain St Ste 1250",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993362967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Center for Pediatrics
• Center for Pediatrics PLLC
• Center Vision & Contact Lens Clinic Inc P S
• Central Tri-Cities Gastroenterology, LLC
• Aurora Cervantes
• Yvett Garcia Cervantes, LMT
• Allicia Cathryn Chalmers
• Ashley Raydene Chamba
• Erica Chambers, DMD
• Chan Chiropractic Clinic, P.S.

• All providers in Kennewick, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.