Provider Demographics
NPI:1962396317
Name:TIMME, KERSTEN RENA (ME, LPC)
Entity type:Individual
Prefix:
First Name:KERSTEN
Middle Name:RENA
Last Name:TIMME
Suffix:
Gender:F
Credentials:ME, LPC
Other - Prefix:
Other - First Name:KERSTEN
Other - Middle Name:RENA
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1093 E LYNN DR
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-8317
Mailing Address - Country:US
Mailing Address - Phone:858-382-8644
Mailing Address - Fax:
Practice Address - Street 1:22214 D ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-7376
Practice Address - Country:US
Practice Address - Phone:620-221-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health