Kersten Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-05378 Issued in NM

Legal business name

KERSTEN COUNSELING CENTER, LLC

Practice address

10701 Lomas Blvd NE
Suite 204
Albuquerque, NM 87112-5463

Phone

(505) 550-9255

Fax

(505) 298-2900

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne H. Kersten, LISW

Title

Owner

Phone

(505) 550-9255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1376704262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 LOMAS BLVD NE",
            "address_2": "SUITE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125463",
            "telephone_number": "505-550-9255",
            "fax_number": "505-298-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 LOMAS BLVD NE",
            "address_2": "SUITE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125463",
            "telephone_number": "505-550-9255",
            "fax_number": "505-298-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSTEN COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KERSTEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-550-9255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "804636",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Lynn Kerschen, PT, DPT
• Robert Charles Kerschen, DMD
• Jeremy Richard Kersey, PA-C
• Brian Christopher Kersh, PH.D.
• Elizabeth Anne Kershner, LCSW
• Suzanne H. Kersten, LISW
• Audra Kerwin
• Gabriela Kerwin
• Rahsan Keskin
• Denece Kesler

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.