Individual provider Active NPI

Kristen Pantermarakis, LPC

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1306445879
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
10149 N 92ND St Ste 103
Scottsdale, AZ 85258-4557
Phone
(480) 442-5730
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

10149 N 92ND St Ste 103
Scottsdale, AZ 85258-4557

Mailing address

10149 N 92ND St Ste 103
Scottsdale, AZ 85258-4557
Phone (480) 442-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2024 through Feb 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1306445879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10149 N 92ND ST STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584557",
            "telephone_number": "480-442-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10149 N 92ND ST STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584557",
            "telephone_number": "480-442-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTERMARAKIS",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.