MEDICARE: KERRY HARPER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	2618	WV
2	101YM0800X	Mental Health Counselor	2618	WV

General Provider Information

NPI Number	:	1346946357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRY HARPER LPC

Provider Business Mailing Address
First Line	:	99 CRACKER BARREL DR STE 100
Second Line	:
City	:	BARBOURSVILLE
State	:	WV
Zip	:	25504-1650
Country	:	US
Telephone Number	:	304-525-7851
Fax Number	:	304-697-1251

Provider Business Practice Location Address
First Line	:	511 MORRIS ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25301-1326
Country	:	US
Telephone Number	:	304-525-7851
Fax Number	:	304-525-1073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	12/19/2025

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Directions to “ KERRY HARPER LPC” Practice Location

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