NPIMap

Organization Active NPI

Avery E Kerr Dmin LPC LLC

Doing business as Avery Kerr DMin LPC LLC

  • Mental Health Counselor
  • Roanoke, VA
National Provider Identifier
1366265357
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AVERY E KERR DMIN LPC LLC
Doing business as
Avery Kerr DMin LPC LLC
Practice address
3635 Manassas Dr
Roanoke, VA 24018-4031
Phone
(540) 774-4686
NPI assigned
Nov 6, 2024
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dr. Avery Kerr, LPCNPI 1023288024
Title
Counselor
Phone
(540) 597-9248

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3635 Manassas Dr
Roanoke, VA 24018-4031

Mailing address

PO Box 772
Hardy, VA 24101-0772
Phone (540) 597-9248

Other names 1

  • Avery Kerr DMin LPC LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321002217 VA Part B Supplier - Clinic/Group Practice 4789106410 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1366265357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241010772",
            "telephone_number": "540-597-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-774-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY E KERR DMIN LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "540-597-9248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Kerr DMin LPC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avery Kerr DMin LPC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.