Kristin Oliver, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007468 Issued in NY

Practice address

580 Dr Knapp Rd N
Newark Valley, NY 13811-3410

Phone

(607) 725-4739

NPI assigned

Dec 24, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristin Lynn Shady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514073600000",
    "number": "1013423292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 DR KNAPP RD N",
            "city": "NEWARK VALLEY",
            "state": "NY",
            "postal_code": "138113410",
            "telephone_number": "607-725-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 DR KNAPP RD N",
            "city": "NEWARK VALLEY",
            "state": "NY",
            "postal_code": "138113410",
            "telephone_number": "607-725-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KRISTIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-24",
        "last_updated": "2017-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SHADY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha G. Jones, RPN
• Philip Kasmarcik, NP
• Sharlene M Kinney, MD
• Amy Lord, FNP-C
• Newark Valley C.S.D.
• Tamara Ann Onofrio, LCSW-R
• Colleen Marie Repetto
• Ashley Elizabeth Sackett, RN
• Charlotte Ruth Scott, RN
• Jennifer Steenburg

• Mental Health Counselor in Newark Valley, NY
• Providers in Newark Valley, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.