Individual provider Active NPI

Kristen Reese, LGPC

  • Mental Health Counselor
  • Aberdeen, MD
National Provider Identifier
1346996196
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP12451 Issued in MD
Practice address
529 Edmund St
Aberdeen, MD 21001-3429
Phone
(410) 272-3278
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 LGP12451 MD Primary

Addresses

Primary practice location

529 Edmund St
Aberdeen, MD 21001-3429

Mailing address

2301 Old Post Rd
Havre de Grace, MD 21078-2118
Phone (410) 652-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20250605003634 MD Practitioner - Mental Health Counselor 8729598172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP12451MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner County Outreach, Inc. CurrentSince Mar 6, 2022 Accepting new patients
Life Change Therapy Now LLC CurrentSince May 15, 2025 Accepting new patients

Locations

529 Edmund St
Aberdeen, MD 21001
Phone (410) 272-3278

21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872

Organizations & group practices 2

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1346996196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OLD POST RD",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782118",
            "telephone_number": "410-652-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 EDMUND ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013429",
            "telephone_number": "410-272-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP12451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.