Kerry Sheahan Christopher, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2959-125 Issued in WI

Practice address

1011 N Mayfair Rd
304
Wauwatosa, WI 53226-3431

Phone

(414) 453-8380

Fax

(414) 443-1635

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kerry Lynn Cotter Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encompass-Effective Mental Health Services IncGroup PAC ID 0042115016, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Encompass-Effective Mental Health Services, Inc

  • Professional Counselor
  • Elm Grove, WI
  • NPI 1356402291
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457405607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MAYFAIR RD",
            "address_2": "304",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263431",
            "telephone_number": "414-453-8380",
            "fax_number": "414-443-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAYFAIR RD",
            "address_2": "304",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263431",
            "telephone_number": "414-453-8380",
            "fax_number": "414-443-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "KERRY",
        "middle_name": "SHEAHAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2959-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43566200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "COTTER",
            "middle_name": "LYNN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen M Christensen X
• Shena Christensen, NP
• Julie A Christenson, FNP-BC, APNP
• Christian Counseling Services
• Kenneth P Christian, LCSW
• Jay J Chrostowski, PSYD
• Grace S Chung
• Elizabeth Chybowski, D.D.S.
• Jennifer K Cicero, LCSW
• Kathleen Cichanski, PH.D.

• Professional Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.