Kristen A Meder, LMHC
Individual provider Active NPI Mental Health Counselor · Irving, NY
NPI 1124563382 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1124563382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 009514 (NY)
- Practice address
- 275 Thomas Indian School Dr
Irving, NY 14081-9341 - Phone
- (716) 532-5582
- Fax
- (716) 242-6344
- NPI assigned
- Dec 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seneca Nation of Indians
Practice addresses (Care Compare)
275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418003976 | NY | Practitioner - Mental Health Counselor | 0941649206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009514 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Nation of Indians | Current |
Accepting new patients | |
| Seneca Nation of Indians | Current |
Accepting new patients | |
| Seneca Nation of Indians | Past | Accepting new patients |
Locations
275 Thomas Indian School Dr
Irving, NY 14081
Phone (716) 532-5582
36 Thomas Indian School Dr
Irving, NY 14081
Phone (716) 532-5582
987 R C Hoag Dr
Salamanca, NY 14779
Phone (716) 945-5894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 009514 | NY | Yes |
Addresses
Primary practice location
275 Thomas Indian School Dr
Irving, NY 14081-9341
Mailing address
39 N Pangolin St Apt a
Dunkirk, NY 14048-1150
Phone (716) 785-3698
Other practice location 1
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07693887 | Medicaid | NY | |
| 180117000136 | Other | NY | FIDELIS |
| 10289678 | Other | NY | AMERIGROUP |
Other providers in Irving, NY
- Elizabeth Ann Lyboult
- Nicole Maciejewski
- Robert Mann
- Gloria M Maurer
- William Stanley May
- Margaret Mary Meissner
- Ronald Mendonza
- Todd Michalak
- Barbara G Nephew
- Neurology Associated of Wny
All providers in Irving, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.