Individual provider Active NPI

Kristen Jean Ott

  • Marriage & Family Therapist
  • Bensalem, PA
National Provider Identifier
1194321745
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001225 Issued in PA
Practice address
3654 Parkview Dr
Bensalem, PA 19020-4626
Phone
(215) 817-9421
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MF001225 PA Primary

Addresses

Primary practice location

3654 Parkview Dr
Bensalem, PA 19020-4626

Mailing address

3654 Parkview Dr
Bensalem, PA 19020-4626
Phone (215) 817-9421

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bensalem Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125005003 PA Practitioner - Mental Health Counselor 4183116106

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 S Warner Rd
Suite 130
King of Prussia, PA 19406-2826

400 W Lancaster Ave
Devon, PA 19333-1531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MF001225PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
2 Crows LLC Single Specialty CurrentSince Sep 13, 2025 Accepting new patients

Locations

400 W Lancaster Ave
Ste 300
Devon, PA 19333
Phone (610) 510-4881

323 Budfield St
Johnstown, PA 15904
Phone (814) 262-9500

150 S Warner Rd
Ste 130
Kng of Prussa, PA 19406
Phone (610) 400-4885

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1194321745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 PARKVIEW DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204626",
            "telephone_number": "215-817-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 PARKVIEW DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204626",
            "telephone_number": "215-817-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bensalem",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bensalem",
            "address_1": "3654 Parkview Dr",
            "city": "Bensalem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190204626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.