Active NPI
Kerry Leno
- Case Manager/Care Coordinator
- Fargo, ND
National Provider Identifier
1720527872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 00000
- Practice address
- 111 9TH St S
Fargo, ND 58103-1831 - Phone
- (701) 893-8498
- NPI assigned
- Feb 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 00000 | ND | Primary |
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
111 9TH St S
Fargo, ND 58103-1831
Mailing address
203 2ND St NW
Hillsboro, ND 58045-4122
Phone (701) 893-8498
Other names 1
- Kerry Keating
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 |
|---|---|---|---|
| 00000 | ND | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Church of Fargo | Case Manager/Care Coordinator | Current | Accepting new patients |
| Beacon of Light House | Current | Accepting new patients | |
| Light House Recovery Services | Past | Accepting new patients |
Locations
111 9th St S
Fargo, ND 58103
Phone (701) 212-8626
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.
-
- Case Management Agency
- Fargo, ND
- NPI 1063112746
-
- Case Manager/Care Coordinator
- Fargo, ND
- NPI 1316531817
-
- Community/Behavioral Health Agency
- Fargo, ND
- NPI 1144920828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1720527872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 2ND ST NW",
"city": "HILLSBORO",
"state": "ND",
"postal_code": "580454122",
"telephone_number": "701-893-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 9TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031831",
"telephone_number": "701-893-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENO",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "ND",
"license": "00000",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "KEATING",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.