Kinetics Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC010127 Issued in PA

Legal business name

KINETICS COUNSELING

Practice address

850 Main Street
Coalport, PA 16627-0001

Phone

(814) 687-4081

NPI assigned

Apr 19, 2018

Last updated

Apr 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shena A Duprez, LPCNPI 1225544661

Title

Counselor/Owner

Phone

(814) 687-4081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shena A Duprez, LPC

  • Professional Counselor
  • Coalport, PA
  • NPI 1225544661
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1356838866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42512",
            "city": "FLINTON",
            "state": "PA",
            "postal_code": "166402512",
            "telephone_number": "814-687-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN STREET",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "166270001",
            "telephone_number": "814-687-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETICS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "DUPREZ",
        "authorized_official_first_name": "SHENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "814-687-4081",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC010127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Staci Kephart, PA
• Anthony M Kibelbek, D.M.D.
• Laura J Rizzo DMD PC
• Joseph Leyo III, RPH
• Leyos Inc (Leyos Pharmacy)
• Lindsey Elizabeth Link, PA-C
• Jordan Emma McClellan, PA-C

• Community/Behavioral Health Agency in Coalport, PA
• Providers in Coalport, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.