Individual provider Active NPI

Kristina Rebecca Castner, LPC

  • Mental Health Counselor
  • Williamsport, PA
National Provider Identifier
1063086544
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC013234 Issued in PA
Practice address
1341 E 3Rd St
Williamsport, PA 17701-5409
Phone
(570) 601-4325
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC013234 PA Primary

Addresses

Primary practice location

1341 E 3Rd St
Williamsport, PA 17701-5409

Mailing address

12866 Wallis Run Rd
Trout Run, PA 17771-8523
Phone (570) 560-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308000639 PA Practitioner - Mental Health Counselor 8325484686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiance Wellness Group LLCGroup PAC ID 2961895958, 5 clinicians

Practice addresses (Care Compare)

1341 E 3Rd St
Williamsport, PA 17701-5409
Phone (570) 601-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013234PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 16, 2025 Accepting new patients
Radiance Wellness Group LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Jamie Plocinski LCSW Mental Health PastSince May 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

953 Market St
Williamsport, PA 17701
Phone (570) 601-4325

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1063086544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12866 WALLIS RUN RD",
            "city": "TROUT RUN",
            "state": "PA",
            "postal_code": "177718523",
            "telephone_number": "570-560-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015409",
            "telephone_number": "570-601-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTNER",
        "first_name": "KRISTINA",
        "middle_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.