Active NPI
Kristy Lynn Hardwick, EDD, LPCC-S
- Professional Counselor
- Mason, OH
National Provider Identifier
1164760732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0900019
- Practice address
- 4075 Old Western Row Rd Ste 312
Mason, OH 45040-3104 - Phone
- (513) 536-0570
- NPI assigned
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0900019 | OH | Primary |
Addresses
Primary practice location
4075 Old Western Row Rd Ste 312
Mason, OH 45040-3104
Mailing address
4075 Old Western Row Rd Ste 312
Mason, OH 45040-3104
Phone (513) 536-0570
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0900019 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1164760732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD STE 312",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD STE 312",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDWICK",
"first_name": "KRISTY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "EDD, LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0900019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
- Amy S Handermann, RN
- Erin C. Hannah, LPCC
- Gabrielle Mackenzie Hardin, BS
- Gary Lynn Hardin, DDS
- Tara Nicole Hardin, DDS
- Linda R Hare, CDCA PRELIMINARY
- Harmony Home Health LLC
- Harness Health Pharmacy - Central Pharmacy Services LLC
- Harness Health Pharmacy - Central Pharmacy Services LLC
- Harness Health Pharmacy - Central Pharmacy Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.