Healthcare Provider Details

I. General information

NPI: 1558093260
Provider Name (Legal Business Name): JENNIFER KERR LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 BEARDSLEY RD
NEW MILFORD CT
06776-3951
US

IV. Provider business mailing address

51 BEARDSLEY RD
NEW MILFORD CT
06776-3951
US

V. Phone/Fax

Practice location:
  • Phone: 631-786-0156
  • Fax:
Mailing address:
  • Phone: 631-786-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002936
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2696
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: