Individual provider Active NPI

Jami L Kerr, MS

  • Mental Health Counselor
  • Camarillo, CA
National Provider Identifier
1316389992
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1601 Carmen Dr Ste 215-I
Camarillo, CA 93010-3105
Phone
(805) 312-7615
Fax
(805) 383-3692
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PSB94023944 CA
Mental Health Counselor 101YM0800X CA Primary

Addresses

Primary practice location

1601 Carmen Dr Ste 215-I
Camarillo, CA 93010-3105

Mailing address

1601 Carmen Dr Ste 215-I
Camarillo, CA 93010-3105
Phone (805) 312-7615

Other identifiers 1

IdentifierTypeStateIssuer
174400000XOtherCAREHAB ACTIVITY LEADER

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PSB94023944CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1316389992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 215-I",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-312-7615",
            "fax_number": "805-383-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 215-I",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-312-7615",
            "fax_number": "805-383-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "JAMI",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSB94023944",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHAB ACTIVITY LEADER",
            "identifier": "174400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

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