K Nadermann Counseling and Supervision, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

K NADERMANN COUNSELING AND SUPERVISION, LLC

Practice address

103 E Beaver Ave Ste 3
State College, PA 16801-4969

Phone

(814) 201-7601

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Kristen Nadermann, PHD, LPCNPI 1093374654

Title

Owner, LPC

Phone

(508) 446-2309

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristen Nadermann, LPC, PHD

  • Professional Counselor
  • State College, PA
  • NPI 1093374654
  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1164037982",
    "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 STE 3",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014969",
            "telephone_number": "814-201-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K NADERMANN COUNSELING AND SUPERVISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "NADERMANN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, LPC",
        "authorized_official_telephone_number": "508-446-2309",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in State College, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.