Active NPI
Courtney M Kersten, MA, NCC, LPCC
- Mental Health Counselor
- Newton, KS
National Provider Identifier
1457880239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 02999
- Practice address
- 1901 E 1St St
Newton, KS 67114-5010 - Phone
- (316) 284-6400
- Fax
- (316) 284-6490
- NPI assigned
- Jun 6, 2017
- Last updated
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0015378 | CO | |
| Mental Health Counselor | 101YM0800X | 02999 | KS | Primary |
Addresses
Primary practice location
1901 E 1St St
Newton, KS 67114-5010
Mailing address
PO Box 467
Newton, KS 67114-0467
Phone (316) 284-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02999 | KS | MD | Mental Health Counselor |
| 0015378 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Branches Therapy & Wellness, LLC | Past | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients | |
| Linda L Thede PC | Mental Health | Past | Accepting new patients |
| Whole Kids Co. PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Wichita, KS
- NPI 1114297314
-
dba Thede Family Center for Autism and Neurodevelopmental Disorders
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1487909933
Mental Health
-
dba MHC Healthcare
- Federally Qualified Health Center (FQHC)
- Marana, AZ
- NPI 1447263405
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1932617792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1457880239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 467",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140467",
"telephone_number": "316-284-6400",
"fax_number": "316-284-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 E 1ST ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671145010",
"telephone_number": "316-284-6400",
"fax_number": "316-284-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSTEN",
"first_name": "COURTNEY",
"middle_name": "M",
"credential": "MA, NCC, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0015378",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "02999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.