Kathryn Correll Grentzenberg, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003938 Issued in PA

Practice address

36 E Front St
Media, PA 19063-2936

Phone

(610) 639-7493

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1366635567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 WOODCREST AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031932",
            "telephone_number": "610-639-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632936",
            "telephone_number": "610-639-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENTZENBERG",
        "first_name": "KATHRYN",
        "middle_name": "CORRELL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Moss Greenberg, LCSW LMFT
• Grace Greene
• Gregory a Hillyard DMD PC
• Gregory a. Hillyard, D.M.D. and Associates
• Gregory J Estadt PHD
• Donna Griffin, MS ED.
• Benjamin Williams Griffith II, R.AC.
• Cathy Griglione
• Jane Grivas, M.ED. DIP.ED.LBS
• Michael Todd Groh, P.T.

• Professional Counselor in Media, PA
• Providers in Media, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.