Organization Active NPI

KRD Counseling and Wellness Center, LLC

  • Professional Counselor
  • Clarion, PA
National Provider Identifier
1134867930
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KRD COUNSELING AND WELLNESS CENTER, LLC
Practice address
162 S 2ND Ave
Clarion, PA 16214-2464
Phone
(824) 299-6402
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Kari OverheimNPI 1093146326
Title
Clinical Director
Phone
(814) 299-6402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

162 S 2ND Ave
Clarion, PA 16214-2464

Mailing address

162 S 2ND Ave Ste D
Clarion, PA 16214-2464
Phone (814) 900-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827000040 PA Part B Supplier - Clinic/Group Practice 6800239088 Receives reassigned benefits from 4 practitioners
Practice locations: Clarion, PA

National Provider Directory

National Provider Directory

Locations

162 S 2nd Ave
Clarion, PA 16214
Phone (814) 226-6695

162 S 2nd Ave
Ste D
Clarion, PA 16214
Phone (814) 299-6402

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1134867930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S 2ND AVE STE D",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162142464",
            "telephone_number": "814-900-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S 2ND AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162142464",
            "telephone_number": "824-299-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRD COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "OVERHEIM",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "814-299-6402"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.