Kenneth Robert Kernagis, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0105601 Issued in NM

Practice address

2130 Farmington Ave
A
Farmington, NM 87401-2123

Phone

(505) 325-2323

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Mesa Family Practice PC

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1881714632
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1376974691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 MARQUETTE AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024537",
            "telephone_number": "505-327-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FARMINGTON AVE",
            "address_2": "A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012123",
            "telephone_number": "505-325-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNAGIS",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0105601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B Kemp
• Laykenn Kennedy, LADAC
• Valerie Kennett, CSW/CPSW
• Torri M Kenney
• Lavee Keoni
• Eric M Ketcham, M.D.
• Samad Siraz Khan, MD
• Lizelle Carino Khieu, PSR
• Sandra Lou Ki
• Courtney Kills in Sight, CSW

• Mental Health Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.