Organization Active NPI

Kerner Counseling and Consultation Group

  • Mental Health Counselor
  • Shelley, ID
National Provider Identifier
1225857105
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KERNER COUNSELING AND CONSULTATION GROUP
Practice address
1382 N 1200 E
Shelley, ID 83274-5151
Phone
(208) 589-3610
NPI assigned
Oct 7, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Jennifer Dee Kerner, LCPC, NCCNPI 1144315722
Title
Clinical Director
Phone
(208) 589-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1382 N 1200 E
Shelley, ID 83274-5151

Mailing address

1382 N 1200 E
Shelley, ID 83274-5151
Phone (208) 589-3610

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1225857105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 N 1200 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745151",
            "telephone_number": "208-589-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 N 1200 E",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745151",
            "telephone_number": "208-589-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNER COUNSELING AND CONSULTATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-589-3610",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.