Organization Active NPI

Kind Authentic Therapeutic Initiatives LLC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1407422249
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KIND AUTHENTIC THERAPEUTIC INITIATIVES LLC
Practice address
2832 Coral St
Philadelphia, PA 19134-4047
Phone
(267) 469-0050
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Katherine Nicole White, LCSWNPI 1053811919
Title
Ceo
Phone
(267) 469-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

2832 Coral St
Philadelphia, PA 19134-4047

Mailing address

1229 Chestnut St Ste 273
Philadelphia, PA 19107-4140
Phone (267) 975-2063

Other names 1

  • Kind Authentic Therapeutic Initiatives LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1229 Chestnut St
Ste 273
Philadelphia, PA 19107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1407422249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 CHESTNUT ST STE 273",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074140",
            "telephone_number": "267-975-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 CORAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344047",
            "telephone_number": "267-469-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND AUTHENTIC THERAPEUTIC INITIATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-469-0050",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kind Authentic Therapeutic Initiatives LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kind Authentic Therapeutic Initiatives LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.