Roberta Kerosevic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2020033352 Issued in MO

Practice address

12203 Big Bend Rd Ste 101
Saint Louis, MO 63122-6848

Phone

(314) 717-0190

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1235736588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 MERSEY BEND CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291943",
            "telephone_number": "314-835-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 BIG BEND RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226848",
            "telephone_number": "314-717-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEROSEVIC",
        "first_name": "ROBERTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020033352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Robert Kern, PHARMD
• Nancy K Kerne, LCSW
• Attila Kerner, MD
• Mattie Elizabeth Kerns, MD
• Megan Claire Kerns, MD
• Todd Valerian Kerr, DOCTOR OF PHARMACY
• Martin Hurley Kerrigan, MD
• Jessica A Kershenski, LCSW, MSW
• Julie A Kershman
• Carly Kersten

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.