Kevin Carl Kershaw, MA, LLPC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022466 Issued in MI

Practice address

5380 Holiday Ter Ste 28
Kalamazoo, MI 49009-2128

Phone

(269) 409-3000

NPI assigned

Sep 20, 2021

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

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.

• Kathy Piecuch Counseling Services

  dba Brain Body Therapy Group

  • Mental Health Counselor
  • Kalamazoo, MI
  • NPI 1659737666
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1538839576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER STE 28",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092128",
            "telephone_number": "269-409-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER STE 28",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092128",
            "telephone_number": "269-409-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHAW",
        "first_name": "KEVIN",
        "middle_name": "CARL",
        "credential": "MA, LLPC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Kerr
• Hope Kerr, MA LLP
• Chanel Kerschbaum, RD, CPT
• Martina Kerschen, NP-C
• Mark D. Kerschner, M.D.
• Wendy S Kershner
• Lauren Kersten
• Zachary J Kerwin, DO
• Keshia Lee Estate
• Michaela Kessler, BT

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.