Organization Active NPI

K & K Holistic Counseling

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1245973767
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
K & K HOLISTIC COUNSELING
Practice address
617 Fountain St
Philadelphia, PA 19128-2405
Phone
(814) 289-3002
NPI assigned
Apr 14, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Emily KoppenhoferNPI 1053927590
Title
Co-Owner
Phone
(814) 289-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

617 Fountain St
Philadelphia, PA 19128-2405

Mailing address

617 Fountain St
Philadelphia, PA 19128-2405
Phone (814) 289-3002

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1245973767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 FOUNTAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282405",
            "telephone_number": "814-289-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FOUNTAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282405",
            "telephone_number": "814-289-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K HOLISTIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "KOPPENHOFER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "814-289-3002"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "617 Fountain St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191282405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.