Kristen W Cardone, LPCC-S, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1200691-SUPV Issued in OH

Practice address

6929 W 130TH St
Parma Heights, OH 44130-7895

Phone

(440) 887-1100

NPI assigned

Apr 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1255795852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 DOGWOOD LN",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892096",
            "telephone_number": "614-745-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307895",
            "telephone_number": "440-887-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONE",
        "first_name": "KRISTEN",
        "middle_name": "W",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161088",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1200691",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200691-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Brown
• Ariel Cammack
• Kristen Campos, LPN
• Tanja Cancar Sopkovich, CDCA
• Kelley Caniglia
• Carested, Inc.
• Brandon L Carroll, LISW
• Elaine Cass
• Catherine Foytik Lisw-S
• Francis William Chiappa, PH.D.

• Professional Counselor in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.