Active NPI
Kristin Granath
- Professional Counselor
- Southampton, PA
National Provider Identifier
1174282685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC016441
- Practice address
- 352 Second Street Pike # 147
Southampton, PA 18966-3834 - Phone
- (215) 598-2817
- NPI assigned
- Dec 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PC016441 | PA | Primary |
Addresses
Primary practice location
352 Second Street Pike # 147
Southampton, PA 18966-3834
Mailing address
352 Second Street Pike # 147
Southampton, PA 18966-3834
Phone (215) 598-2817
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC016441 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1174282685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 SECOND STREET PIKE # 147",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663834",
"telephone_number": "215-598-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 SECOND STREET PIKE # 147",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663834",
"telephone_number": "215-598-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANATH",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-12",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC016441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.