Individual provider Active NPI

M M Trzeciak-Kerr, LMHC

  • Professional Counselor
  • Athens, OH
National Provider Identifier
1972658177
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2504984-SUPV Issued in OH
Practice address
306 W Union St
Athens, OH 45701-2312
Phone
(740) 764-4529
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2504984-SUPV OH Primary
Mental Health Counselor 101YM0800X MH7674 FL

Addresses

Primary practice location

306 W Union St
Athens, OH 45701-2312

Mailing address

PO Box 132
Athens, OH 45701-0132
Phone (800) 321-8293

Other practice location 1

PO Box 900926
Sandy, UT 84090-0926
Phone (740) 238-7517

Other practice location 2

11 Graham Dr
Athens, OH 45701-1430
Phone (800) 321-8293

Other identifiers 1

IdentifierTypeStateIssuer
0217404000MedicaidFL

Other names 1

  • M. M. Trzeciak-Kerr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240105002019 FL Practitioner - Mental Health Counselor 3375994189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2504984-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Sep 29, 2024 Accepting new patients
Centerstone of Florida, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Jewish Family & Childrens Service of the Suncoast Inc PastSince Sep 26, 2012 Accepting new patients
Phoenix Group Home, LLC PastSince Mar 11, 2025 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

4010 Sawyer Rd
Sarasota, FL 34233
Phone (941) 924-9892

306 W Union St
Athens, OH 45701
Phone (740) 764-4529

49 Johnson Rd
The Plains, OH 45780
Phone (740) 764-4529

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1972658177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010132",
            "telephone_number": "800-321-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W UNION ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012312",
            "telephone_number": "740-764-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 900926",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840900926",
            "country_code": "US",
            "telephone_number": "740-238-7517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Graham Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011430",
            "country_code": "US",
            "telephone_number": "800-321-8293",
            "fax_number": "800-321-8293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRZECIAK-KERR",
        "first_name": "M M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2504984-SUPV",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217404000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M. M.",
            "last_name": "TRZECIAK-KERR",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.