William Carl Kerstetter, LPC/MHSP
Individual provider Active NPI Professional Counselor · Monteagle, TN
NPI 1992860241 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1992860241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 402 (TN)
- Practice address
- 218 East Main Street
Monteagle, TN 37356 - Phone
- (931) 924-0042
- Fax
- (931) 924-0043
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center of Monteagle | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 402 | TN | Yes |
Addresses
Primary practice location
218 East Main Street
Monteagle, TN 37356
Mailing address
218 East Main Street
PO Box 572
Monteagle, TN 37356-7015
Phone (931) 924-0042
Other providers in Monteagle, TN
- Bobby James Grayson
- Janet Denise Harlow
- Hugh Edwin Hodges
- HQM of Monteagle, LLC
- Clifford Louis Huffman Jr.
- Kenneth Gene Sebrero Lacandazo
- LP Monteagle LLC
- Kenneth D Malhoit
- Rita Milner
- Monteagle Family Dentistry, PLLC.
All providers in Monteagle, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.