Individual provider Active NPI

Kyira L Kerns, LSW

  • Clinical Social Worker
  • West Chester, OH
National Provider Identifier
1184170177
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304586 Issued in OH
Practice address
9078 Union Centre Blvd Ste 350
West Chester, OH 45069-4992
Phone
(513) 783-1827
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162219 OH
Clinical Social Worker 1041C0700X I.2304586 OH Primary

Addresses

Primary practice location

9078 Union Centre Blvd Ste 350
West Chester, OH 45069-4992

Mailing address

9078 Union Centre Blvd Ste 350
West Chester, OH 45069-4992
Phone (513) 783-1827

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

State licenses

LicenseStateTypeSpecialty
LICDC.162219OHMDAddiction (Substance Use Disorder) Counselor
I.2304586OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightenment Counseling, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Modern Psychiatry & Wellness, LLC PastSince Feb 1, 2021 Accepting new patients
Modern Psychiatry and Wellness LLC PastSince Feb 1, 2021 Accepting new patients

Locations

9078 Union Centre Blvd
Ste 350
West Chester, OH 45069
Phone (513) 440-7407

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/mpwhealth/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1184170177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9078 UNION CENTRE BLVD STE 350",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694992",
            "telephone_number": "513-783-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9078 UNION CENTRE BLVD STE 350",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694992",
            "telephone_number": "513-783-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "KYIRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162219",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.