Active NPI
Kathryn Kerr, LCDC
- Addiction (Substance Use Disorder) Counselor
- Corpus Christi, TX
National Provider Identifier
1467809491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12411
- Practice address
- 5633 S Staples St Ste 700
Corpus Christi, TX 78411-4679 - Phone
- (361) 814-2001
- Fax
- (361) 814-6502
- NPI assigned
- May 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12411 | TX | Primary |
Addresses
Primary practice location
5633 S Staples St Ste 700
Corpus Christi, TX 78411-4679
Mailing address
5633 S Staples St Ste 700
Corpus Christi, TX 78411-4679
Phone (361) 814-2001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12411 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1467809491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 S STAPLES ST STE 700",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114679",
"telephone_number": "361-814-2001",
"fax_number": "361-814-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 S STAPLES ST STE 700",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114679",
"telephone_number": "361-814-2001",
"fax_number": "361-814-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "KATHRYN",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.