Individual provider Active NPI

Kersten Rena Timme, ME, LPC

  • Mental Health Counselor
  • Winfield, KS
National Provider Identifier
1962396317
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
05052 Issued in KS
Practice address
22214 D St
Winfield, KS 67156-7376
Phone
(620) 221-9664
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 05052 KS Primary

Addresses

Primary practice location

22214 D St
Winfield, KS 67156-7376

Mailing address

1093 E Lynn Dr
Mulvane, KS 67110-8317
Phone (858) 382-8644

Other names 1

  • Kersten Rena Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908002431 KS Practitioner - Mental Health Counselor 2860994886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3354 Hwy 160
Independence, KS 67301

PO Box
Suite 688
Independence, KS 67301-0688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Engineering

State licenses

LicenseStateTypeSpecialty
05052KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Mental Health Center Inc CurrentSince Jun 16, 2025 Accepting new patients
Four County Mental Health Center, Inc. CurrentSince Jun 16, 2025 Accepting new patients

Locations

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

22214 D St
Winfield, KS 67156
Phone (620) 221-9664

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1962396317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 E LYNN DR",
            "city": "MULVANE",
            "state": "KS",
            "postal_code": "671108317",
            "telephone_number": "858-382-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-221-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMME",
        "first_name": "KERSTEN",
        "middle_name": "RENA",
        "credential": "ME, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "05052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERSTEN",
            "last_name": "MORGAN",
            "middle_name": "RENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.