Active NPI
Craig Kern, M.A. LPC-S, LMFT
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1821273442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63559
- Practice address
- 8913 Collinfield Dr
Austin, TX 78758-6704 - Phone
- (512) 324-6878
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63559 | TX | Primary |
Addresses
Primary practice location
8913 Collinfield Dr
Austin, TX 78758-6704
Mailing address
8913 Collinfield Dr
Austin, TX 78758-6704
Phone (512) 324-6878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220008101 | Medicaid | TX |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63559 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1821273442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8913 COLLINFIELD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586704",
"telephone_number": "512-324-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8913 COLLINFIELD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787586704",
"telephone_number": "512-324-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "CRAIG",
"credential": "M.A. LPC-S, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "63559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220008101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.