Individual provider Active NPI

Alyse Marie Kerr, MS NCC NADD-CC LPC

  • Mental Health Counselor
  • Scranton, PA
National Provider Identifier
1659645406
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005681 Issued in PA
Practice address
300 Mulberry Street
Suite 301
Scranton, PA 18503
Phone
(570) 955-5479
Fax
(570) 955-5528
NPI assigned
Feb 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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 PC005681 PA Primary

Addresses

Primary practice location

300 Mulberry Street
Suite 301
Scranton, PA 18503

Mailing address

300 Mulberry Street
Suite 301
Scranton, PA 18503
Phone (607) 237-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240306003244 PA Practitioner - Mental Health Counselor 2668743022 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC005681PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Mind and Body Services Current Accepting new patients
Integrative Counseling Services, PC CurrentSince Sep 1, 2014 Accepting new patients
Empowered Resilience Mental Health CurrentSince Feb 4, 2024 Accepting new patients

Locations

52 Summit St
New Milford, PA 18834
Phone (570) 465-2080

300 Mulberry St
Ste 301
Scranton, PA 18503
Phone (570) 955-5459

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1659645406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MULBERRY STREET",
            "address_2": "SUITE 301",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "607-237-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY STREET",
            "address_2": "SUITE 301",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-955-5479",
            "fax_number": "570-955-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "ALYSE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS NCC NADD-CC LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.