Individual provider Active NPI

Kerri Ann Linton, MA

  • Psychologist
  • Beckley, WV
National Provider Identifier
1336198381
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
852 Issued in WV
Practice address
313 Market Rd
Beckley, WV 25801-7116
Phone
(304) 254-9003
Fax
(304) 254-9005
NPI assigned
May 8, 2006
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 1521 WV
Psychologist 103T00000X 852 WV Primary

Addresses

Primary practice location

313 Market Rd
Beckley, WV 25801-7116

Mailing address

202 Glass Dr
Cross Lanes, WV 25313-1319
Phone (304) 776-7230

Other identifiers 1

IdentifierTypeStateIssuer
9202149000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423001266 WV Practitioner - Mental Health Counselor 3779664701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Glass Dr
Cross Lanes, WV 25313-1319
Phone 30477672304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
852WVMDPsychologist
1521WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Consultation and Assessment Psychologist CurrentSince Dec 13, 2024 Accepting new patients
Sunrise Psychiatric Services, Inc. Psychologist Past Accepting new patients

Locations

202 Glass Dr
Cross Lanes, WV 25313
Phone (304) 776-7230

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1336198381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GLASS DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131319",
            "telephone_number": "304-776-7230",
            "fax_number": "304-776-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MARKET RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017116",
            "telephone_number": "304-254-9003",
            "fax_number": "304-254-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1521",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202149000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.