Mathias Randolph Kerger, LCPC; CADC, CRSS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18003548 Issued in IL

Practice address

655 W Irving Park Rd Apt 2506
Chicago, IL 60613-3113

Phone

(773) 617-6217

NPI assigned

Aug 24, 2023

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

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1740065176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD APT 2506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133113",
            "telephone_number": "773-617-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD APT 2506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133113",
            "telephone_number": "773-617-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERGER",
        "first_name": "MATHIAS",
        "middle_name": "RANDOLPH",
        "credential": "LCPC; CADC, CRSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "18003548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Ann Kerchen, MA, LPC
• Daniel Kerekes
• Ashley A Keren, D.P.M.
• Shavit Keren, MD
• Katherine Kereszturi, CADC
• Eileen Kerins, M.S.
• Bradley Kerkove, DC
• Dobbi Ariel Kerman, PH.D.
• Ghazal Kermani
• Parisa Lucia Kermani, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.