Brendon Michael Kerton, M.A., LPC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0013230 Issued in CO

Practice address

811 Main CT
Carbondale, CO 81623-1851

Phone

(970) 704-9292

NPI assigned

Nov 22, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jaywalker Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Carbondale, CO
  • NPI 1750657482
  NPD
• Jaywalker Lodge Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carbondale, CO
  • NPI 1972901080
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1194361345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WHEEL CIR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231573",
            "telephone_number": "603-498-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MAIN CT",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231851",
            "telephone_number": "970-704-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTON",
        "first_name": "BRENDON",
        "middle_name": "MICHAEL",
        "credential": "M.A., LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0013230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "LPC.0013230",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Hastings Johnson, LCSW
• Kerry Jones, PTA
• Julie a Martin PLLC
• Carmen Kane, CMT
• Kathryn Difrank
• Kerry Kleisner
• Jessica Louise Kliebert, DPT
• Chad Knaus, M.D.
• Gary D Knaus, M.D.
• Jocelyn Rae Essler Koenigsknecht, CCC-SLP

• Mental Health Counselor in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.