Kristen Nadermann, LPC, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010689 Issued in PA

Practice address

103 E Beaver Ave
State College, PA 16801-4969

Phone

(508) 446-2309

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• K Nadermann Counseling and Supervision, LLC

  • Mental Health Counselor
  • State College, PA
  • NPI 1164037982
  NPD Authorized official

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1093374654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GWENEDD LN",
            "city": "PLEASANT GAP",
            "state": "PA",
            "postal_code": "168239614",
            "telephone_number": "508-446-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BEAVER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014969",
            "telephone_number": "508-446-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADERMANN",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Pennsylvania, LLC
• N.K.Foster, Inc (Boalsburg Apothecary)
• Abdollah Nabavi, MD
• Peggy Eileen Nadenichek, M.ED.
• Andrew Nadermann, MED
• Christine A. Nagle, P.T.
• Ankita Naphade, DO
• Jason Paul Narber, LMT
• Deanna Nardozzo, LPC
• Ma Alexandria Nuas Nash

• Professional Counselor in State College, PA
• Providers in State College, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.