Mary Kesecker

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

22051 Issued in WV

Practice address

202 Chestnut St
Lewisburg, WV 24901-1108

Phone

(304) 647-6483

NPI assigned

Feb 2, 2008

Sex

Female

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

Practice roles

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.

• Greenbrier County Board of Education

  • Local Education Agency (LEA)
  • Lewisburg, WV
  • NPI 1417126384
  NPD (past)

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201910400000",
    "number": "1932387883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014227",
            "telephone_number": "540-433-8830",
            "fax_number": "540-433-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHESTNUT ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011108",
            "telephone_number": "304-647-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESECKER",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WV",
            "license": "22051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Sue Katchuk, DPT
• Irene Kaufmann
• Jacob Keaton
• Savannah June Keffer, DO
• Christopher Paul Kennedy, DO
• Amanda Kessinger
• Catherine Sue Kessinger
• Kilcollin Dental Inc.
• Drema Mae Kincaid
• Justin Kincaid

• School Psychologist in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• School Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.