Keri Fernald, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1013 Issued in NH

Legal business name

KERI FERNALD, LLC

Practice address

154 Emerys Bridge Rd
South Berwick, ME 03908-1904

Phone

(802) 661-8259

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keri R FernaldNPI 1841494622

Title

Owner

Phone

(802) 661-8259

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keri R Fernald, LCMHC

  • Mental Health Counselor
  • South Berwick, ME
  • NPI 1841494622
  NPD (past) Authorized official

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1164851994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 EMERYS BRIDGE RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081904",
            "telephone_number": "802-661-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 EMERYS BRIDGE RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081904",
            "telephone_number": "802-661-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI FERNALD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "FERNALD",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-661-8259"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Higgins
• Nickolas Cameron Hutchings, PHARMD
• Chiedza G Jokonya, MD
• Diana Elaine Kandilakis, LCPC
• Thomas Emerson Kent, DPT
• Michael C Kumin, MD
• Seth C Laflamme, D.C.
• Dagmar Lamberts, LICSW
• Hillary Lane Prior, P.T., D.P.T.
• Jacqueline Lipsky, MS CCC/SLP

• Mental Health Counselor in South Berwick, ME
• Providers in South Berwick, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.