Jeffrey Lynn Kern Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10314-C Issued in NV

Practice address

888 Willow St
Reno, NV 89502-1304

Phone

(775) 384-1129

Fax

(775) 300-7068

NPI assigned

Oct 16, 2020

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eddy House

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1497328207
  NPD
• State of Nevada

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1992314264
  NPD
• State of Nevada - Nncas Case Management

  dba NNCAS Case Management

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1386711737
  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1942808357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WILLOW ST RENO NV 89502",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-501-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WILLOW ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021304",
            "telephone_number": "775-384-1129",
            "fax_number": "775-300-7068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Kietzke Ln Bldg D",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895025033",
            "country_code": "US",
            "telephone_number": "775-688-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2024-02-05",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "IC-1631",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "8842-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-1631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10314-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.kern@dcfs.nv.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Kietzke Ln Bldg D",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895025033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@eddyhouse.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "888 Willow St",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895021304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Kenyon, MS
• Michael J Keogh, M.D.
• Anna Kerfoot, APRN-CNP
• Melissa Marie Kerkelis, MD
• Charlotte Anne Kermode, APN, FNP-BC
• Paula Sue Kerns, P.T.
• Matthew T Kerr, LCSW
• Jeffrey Kertis, PT, MS, DPT
• Barbara E. Kess Evarts, ED.S., MFT
• Ketamine Wellness Centers Reno LLC

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.