Individual provider Active NPI

Kristina Nicole Peary, L.P.C.

  • Professional Counselor
  • Honesdale, PA
National Provider Identifier
1083072532
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008703 Issued in PA
Practice address
602 Church St
Honesdale, PA 18431-1864
Phone
(570) 253-6621
Fax
(570) 253-4707
NPI assigned
Jan 29, 2016
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008703 PA Primary

Addresses

Primary practice location

602 Church St
Honesdale, PA 18431-1864

Mailing address

245 Ridge St
Honesdale, PA 18431-1622
Phone (570) 493-0463

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
I20240325001891 PA Practitioner - Mental Health Counselor 0749627883 Reassigns benefits to 1 organization
Practice locations: Honesdale, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

245 Ridge St
Honesdale, PA 18431-1622
Phone (570) 493-0463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008703PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristina Peary LLC Professional CurrentSince Aug 25, 2016 Accepting new patients
Kristina Peary LLC Professional Current Accepting new patients

Locations

602 Church St
Honesdale, PA 18431
Phone (570) 253-6621

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1083072532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RIDGE ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311622",
            "telephone_number": "570-493-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHURCH ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311864",
            "telephone_number": "570-253-6621",
            "fax_number": "570-253-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARY",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.