Individual provider Active NPI

Trisha Bowen Kerr, LPC, RN, CNS PMH,CEA

  • Mental Health Counselor
  • Montgomery, TX
National Provider Identifier
1508874629
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12649 Issued in TX
Practice address
14729 Highway 105 W
Suite 180
Montgomery, TX 77356-6025
Phone
(936) 588-6122
Fax
(936) 588-6124
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12649 TX Primary

Addresses

Primary practice location

14729 Highway 105 W
Suite 180
Montgomery, TX 77356-6025

Mailing address

105 Lullabye LN
Montgomery, TX 77356-8875
Phone (936) 588-6122

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
12649TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508874629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LULLABYE LN",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773568875",
            "telephone_number": "936-588-6122",
            "fax_number": "936-588-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14729 HIGHWAY 105 W",
            "address_2": "SUITE 180",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773566025",
            "telephone_number": "936-588-6122",
            "fax_number": "936-588-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "TRISHA",
        "middle_name": "BOWEN",
        "name_prefix": "Ms.",
        "credential": "LPC, RN, CNS PMH,CEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "12649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.