Individual provider Active NPI

Kristen Sue Double, MA, LAPC

  • Mental Health Counselor
  • Kittanning, PA
National Provider Identifier
1154231322
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC002828 Issued in PA
Practice address
200 Oak Ave
Kittanning, PA 16201-2708
Phone
(724) 548-7607
Fax
(724) 545-9997
NPI assigned
Sep 10, 2026
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC002828 PA Primary

Addresses

Primary practice location

200 Oak Ave
Kittanning, PA 16201-2708

Mailing address

200 Oak Ave
Kittanning, PA 16201-2708
Phone (724) 548-7607

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

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1154231322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK AVE",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012708",
            "telephone_number": "724-548-7607",
            "fax_number": "724-545-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK AVE",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012708",
            "telephone_number": "724-548-7607",
            "fax_number": "724-545-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLE",
        "first_name": "KRISTEN",
        "middle_name": "SUE",
        "credential": "MA, LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC002828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.