Active NPI
Ian Kerns, TLMFT
- Marriage & Family Therapist
- Iowa City, IA
National Provider Identifier
1801291968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000410
- Practice address
- 1519 S Gilbert St
Iowa City, IA 52240-4367 - Phone
- (319) 338-9212
- NPI assigned
- Oct 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000410 | IA | Primary |
Addresses
Primary practice location
1519 S Gilbert St
Iowa City, IA 52240-4367
Mailing address
1519 South Gilbert Street
Iowa City, IA 52240
Phone (319) 338-9212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219002256 | IA | Practitioner - Marriage and Family Therapist | 9931434230 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meadowlark Partners LLC
Practice addresses (Care Compare)
320 W Cherry St
Meadowlark Psychiatric Services
North Liberty, IA 52317-8819
Phone (319) 626-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000410 | IA | MD | Marriage & Family Therapist |
| 00410 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowlark Partners LLC | Current | Accepting new patients | |
| Systems Unlimited Inc. | Past | Accepting new patients |
Locations
320 W Cherry St
North Liberty, IA 52317
Phone (319) 626-3300
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.
-
- Community/Behavioral Health Agency
- Iowa City, IA
- NPI 1639584881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1801291968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 SOUTH GILBERT STREET",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "319-338-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 S GILBERT ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522404367",
"telephone_number": "319-338-9212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNS",
"first_name": "IAN",
"name_prefix": "Mr.",
"credential": "TLMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "000410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.