Kristina D Kerr, LPC-MHSP, NCC,MAC,AS | |
37 Sandstone Cir Ste 92b, Jackson, TN 38305-3168 | |
(731) 265-6025 | |
Not Available |
Full Name | Kristina D Kerr |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 37 Sandstone Cir Ste 92b, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740813633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 265058 (Tennessee) | Secondary |
101YM0800X | Counselor - Mental Health | 2825 (Tennessee) | Primary |
Entity Name | Impact Behavioral Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20190404001313 |
Mailing Address | Practice Location Address |
---|---|
Kristina D Kerr, LPC-MHSP, NCC,MAC,AS 813 Cold Creek Trl, Nashville, TN 37211-6842 Ph: (630) 408-7548 | Kristina D Kerr, LPC-MHSP, NCC,MAC,AS 37 Sandstone Cir Ste 92b, Jackson, TN 38305-3168 Ph: (731) 265-6025 |
Tony Hatley, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir, Jackson, TN 38305 Phone: 731-220-2919 | |
Doris Kay Black, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Murray Guard Dr, Jackson, TN 38305 Phone: 731-736-4400 | |
Mrs. Robyn Elizabeth Mcdaniel, LPC/MHSP (TEMP), NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Carriage House Dr Ste C, Jackson, TN 38305 Phone: 731-868-7297 | |
Sonya Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6760 Fax: 731-661-9152 | |
Mrs. Linda Sue Hottenstein, M.ED,LPC/MHSP,RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 386 Carriage House Dr Ste A, Jackson, TN 38305 Phone: 731-664-0043 Fax: 731-664-0172 | |
Dr. Samuel Lee Carney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Executive Dr, Jackson, TN 38305 Phone: 731-426-1820 Fax: 731-426-0675 | |
Justin Edward Crowder, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Lynoak Cv, Suite C, Jackson, TN 38305 Phone: 731-668-7593 Fax: 731-660-7512 |