Individual provider Active NPI

Kelly Nicole Craney, MA, NCC, LPC

  • Professional Counselor
  • Southampton, PA
National Provider Identifier
1356591150
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005095 Issued in PA
Practice address
501 Street Rd
Floor 2
Southampton, PA 18966-3796
Phone
(267) 987-3524
Fax
(267) 684-6810
NPI assigned
Sep 29, 2008
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005095 PA Primary

Addresses

Primary practice location

501 Street Rd
Floor 2
Southampton, PA 18966-3796

Mailing address

501 Street Rd
Floor 2
Southampton, PA 18966-3796
Phone (267) 987-3524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC005095PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emotional Harmony, LLC Professional Past Accepting new patients

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1356591150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "FLOOR 2",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663796",
            "telephone_number": "267-987-3524",
            "fax_number": "267-684-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "FLOOR 2",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663796",
            "telephone_number": "267-987-3524",
            "fax_number": "267-684-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANEY",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.