Active NPI
Kristen Reese, LGPC
- Mental Health Counselor
- Aberdeen, MD
National Provider Identifier
1346996196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP12451
- Practice address
- 529 Edmund St
Aberdeen, MD 21001-3429 - Phone
- (410) 272-3278
- NPI assigned
- Mar 1, 2022
- Last updated
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12451 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner County Outreach, Inc. | Current | Accepting new patients | |
| Life Change Therapy Now LLC | Current | 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.
-
- Clinical Social Worker
- Frederick, MD
- NPI 1780121392
-
- Community/Behavioral Health Agency
- Aberdeen, MD
- NPI 1073149183
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.