Individual provider Active NPI

Kristin McQueeney

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1508219098
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008838 Issued in PA
Practice address
100 Barber Place
Erie, PA 16507-1863
Phone
(814) 871-4725
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 PC008838 PA Primary

Addresses

Primary practice location

100 Barber Place
Erie, PA 16507-1863

Mailing address

100 Barber PL
Erie, PA 16507-1863
Phone (814) 871-4725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003562 PA Practitioner - Mental Health Counselor 1254663198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC008838PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Health Evaluation Delivery Systems Inc CurrentSince Jun 29, 2024 Accepting new patients
Dr Gertrude a Barber Center Inc PastSince Jul 1, 2004 Accepting new patients

Locations

2928 Peach St
Erie, PA 16508
Phone (814) 452-6229

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1508219098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-871-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARBER PLACE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-871-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEENEY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.