Active NPI
Marilyn Gay Kerker, MFT
- Marriage & Family Therapist
- Hilo, HI
National Provider Identifier
1205001336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT - 80
- Practice address
- 234 Waianuenue Avenue
Suite 107
Hilo, HI 96720 - Phone
- (808) 895-0747
- Fax
- (808) 961-2073
- NPI assigned
- Apr 29, 2008
- Last updated
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT - 80 | HI | Primary |
Addresses
Primary practice location
234 Waianuenue Avenue
Suite 107
Hilo, HI 96720
Mailing address
65-1158 Mamalahoa Hwy
Suite 8a, PMB #141
Kamuela, HI 96743
Phone (808) 895-0747
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT - 80 | HI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1205001336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65-1158 MAMALAHOA HWY",
"address_2": "SUITE 8A, PMB #141",
"city": "KAMUELA",
"state": "HI",
"postal_code": "96743",
"telephone_number": "808-895-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 WAIANUENUE AVENUE",
"address_2": "SUITE 107",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-895-0747",
"fax_number": "808-961-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERKER",
"first_name": "MARILYN",
"middle_name": "GAY",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT - 80",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.