Kristy Dawn Harris, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC004413 Issued in PA

Practice address

521 Moredon Rd
Huntingdon Valley, PA 19006-7705

Phone

(215) 914-4190

Fax

(215) 914-4197

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristywolanski@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487788568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 REVERE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191493024",
            "telephone_number": "215-535-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MOREDON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067705",
            "telephone_number": "215-914-4190",
            "fax_number": "215-914-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KRISTY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hand Surgical & Rehabilitation Assoc., Inc.
• Janet Maureen Hanlon, M. ED.
• John William Hannigan II, LSW
• Davida Padawer Harlem, PH.D.
• Steven Herbert Harlem, PH.D.
• Oksana Harris, LMT
• Rita Harris
• Daniel Gerard Hartman, M.D.
• Renee Marie Hartman, PMHNP-BC
• Eman Hasan

• Mental Health Counselor in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.