Individual provider Active NPI

Kristen Heather Hamilton

  • Mental Health Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1316122591
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E 0602209 Issued in OH
Practice address
2321 Second St
Cuyahoga Falls, OH 44221-2520
Phone
(330) 814-1001
Fax
(330) 865-5356
NPI assigned
Jan 7, 2008
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E 0602209 OH Primary

Addresses

Primary practice location

2321 Second St
Cuyahoga Falls, OH 44221-2520

Mailing address

2321 Second St
Cuyahoga Falls, OH 44221-2520
Phone (330) 814-1001

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240718002711 OH Practitioner - Mental Health Counselor 6709322464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Family Institute, Inc.Group PAC ID 1658437389, 10 clinicians

Practice addresses (Care Compare)

3469 Fortuna Dr
Akron, OH 44312-5281
Phone (330) 644-3469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 0602209OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Family Institute, Inc. CurrentSince May 28, 2024 Accepting new patients

Locations

3469 Fortuna Dr
Green, OH 44312
Phone (330) 644-3469

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1316122591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-814-1001",
            "fax_number": "330-865-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-814-1001",
            "fax_number": "330-865-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KRISTEN",
        "middle_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 0602209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.