Individual provider Active NPI

Audrey Elizabeth Kline, LPC

  • Mental Health Counselor
  • Clarion, PA
National Provider Identifier
1114730850
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC017622 Issued in PA
Practice address
30 Pinnacle Dr
Clarion, PA 16214-3800
Phone
(814) 223-9914
Fax
(814) 223-9917
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC017622 PA
Mental Health Counselor 101YM0800X PC017622 PA Primary

Addresses

Primary practice location

30 Pinnacle Dr
Clarion, PA 16214-3800

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 223-9914

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
I20250224000019 PA Practitioner - Mental Health Counselor 4486174307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Apr 7, 2025 Accepting new patients
Primary Health Network CurrentSince Apr 7, 2025 Accepting new patients

Locations

30 Pinnacle Dr
Clarion, PA 16214
Phone (814) 223-9900

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

Organizations & group practices 2

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1114730850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-223-9914",
            "fax_number": "814-223-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PINNACLE DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162143800",
            "telephone_number": "814-223-9914",
            "fax_number": "814-223-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "AUDREY",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017622",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.