Active NPI
Kristie Renee Wise-Avrett, LMFT
- Marriage & Family Therapist
- Lancaster, PA
National Provider Identifier
1083474787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF001601
- Practice address
- 255 Butler Ave Ste 300
Lancaster, PA 17601-6308 - Phone
- (717) 875-4528
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF001601 | PA | Primary |
Addresses
Primary practice location
255 Butler Ave Ste 300
Lancaster, PA 17601-6308
Mailing address
105 N Barbara St
Mount Joy, PA 17552-1403
Phone (229) 232-1260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF001601 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1083474787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N BARBARA ST",
"city": "MOUNT JOY",
"state": "PA",
"postal_code": "175521403",
"telephone_number": "229-232-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 BUTLER AVE STE 300",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016308",
"telephone_number": "717-875-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE-AVRETT",
"first_name": "KRISTIE",
"middle_name": "RENEE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF001601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.