Individual provider Active NPI

Charles Kerns, CDCAPRE.195369

  • Addiction (Substance Use Disorder) Counselor
  • Coal Grove, OH
National Provider Identifier
1720933609
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCAPRE.195369 Issued in OH
Practice address
323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone
(740) 237-4981
NPI assigned
Mar 4, 2026
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

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

LicenseStateTypeSpecialty
CDCAPRE.195369OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Recovery, LLC Mental Health PastSince Jul 22, 2025 Accepting new patients
United Family Recovery, LLC Addiction (Substance Use Disorder) PastSince Jul 22, 2025 Accepting new patients

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X OH
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X OH
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CDCAPRE.195369 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Mailing address

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone (740) 237-4981

Other practice location 1

1141 County Road 24
Ironton, OH 45638-3186
Phone (740) 237-4981

Other practice location 2

35 Private Drive 1122 Ste A
Ironton, OH 45638-9153
Phone (740) 237-4981

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2026.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1720933609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 County Road 24",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456383186",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Private Drive 1122 Ste A",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456389153",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNS",
        "first_name": "CHARLES",
        "credential": "CDCAPRE.195369",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCAPRE.195369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.