Rose Sharan Kern, MAMT, MT-BC, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12852 Issued in NE

Practice address

1941 S 42ND St Ste 542
Omaha, NE 68105-2945

Phone

(402) 401-4445

Fax

(402) 702-0583

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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.

• Bellevue Primary Healthcare PC

  • Family Medicine Physician
  • Bellevue, NE
  • NPI 1497091888

  NE

  Medicare reassignment Care Compare group NPD
• Reaching Ivy

  • Mental Health Counselor
  • Bellevue, NE
  • NPI 1508721697

  Mental Health, NE

  Medicare reassignment NPD Authorized official
• Eon Care Clinicians PC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1073332490
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellevue Primary Healthcare PC 23 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NE

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2022.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1700537420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 TUCKER ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071857",
            "telephone_number": "402-860-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 542",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-401-4445",
            "fax_number": "402-702-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15325 Tucker St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "NE",
            "postal_code": "680071857",
            "country_code": "US",
            "telephone_number": "402-935-7798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "ROSE",
        "middle_name": "SHARAN",
        "credential": "MAMT, MT-BC, PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.creativecounselingandstudio.com/telehealth",
            "affiliation": "Y",
            "endpointDescription": "Spruce Health virtual session",
            "affiliationName": "Creative Counseling and Studio, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient portal",
            "address_1": "1941 S 42nd St Ste 542",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681052945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsie Kermeen
• Kirsten Lynn Kermeen
• Anastacia Kern
• Courtney Kern
• Ieisha Kern
• Erin Kerns
• Kerr Anesthesia Srevices PC
• Brady A Kerr, MD
• Christian Michael Kerr, MD
• Cori Renee Kerr, APRN-NP BC

• All providers in Omaha, NE
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.