Active NPI
Sophia Ellis Lauren Kreider, LPC
- Professional Counselor
- Lancaster, PA
National Provider Identifier
1235821190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004975
- Practice address
- 603 State St
Lancaster, PA 17603-2640 - Phone
- (610) 416-9391
- NPI assigned
- May 22, 2023
- Last updated
- Jul 12, 2023
- 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 | PC004975 | PA | Primary |
Addresses
Primary practice location
603 State St
Lancaster, PA 17603-2640
Mailing address
603 State St
Lancaster, PA 17603-2640
Phone (610) 416-9391
Other names 1
- Lauren Sophia Kreider
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 2, 2024 through Sep 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004975 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1235821190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 STATE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032640",
"telephone_number": "610-416-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 STATE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032640",
"telephone_number": "610-416-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIDER",
"first_name": "SOPHIA",
"middle_name": "ELLIS LAUREN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "KREIDER",
"middle_name": "SOPHIA",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.