Kristen Marie Pettinato, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012874 Issued in PA

Practice address

39 Old Swede Rd
Douglassville, PA 19518-1852

Phone

(610) 910-8500

NPI assigned

Feb 14, 2021

Last updated

Feb 14, 2021By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doylestown Counseling AssociatesGroup PAC ID 2668914912, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Doylestown Counseling Associates

  • Professional Counselor
  • Doylestown, PA
  • NPI 1053708123
  Medicare reassignment Care Compare group NPD
• Insight Based Change, LLC

  • Point of Service
  • Doylestown, PA
  • NPI 1104456490
  NPD

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1568055234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 DOGWOOD LN",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264122",
            "telephone_number": "610-608-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OLD SWEDE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181852",
            "telephone_number": "610-910-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINATO",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Paull, V.M.D.
• Kathleen Marie Pearlberg
• Ana M Pendleton, OTR
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy)
• Gregory Michael Peters
• Physiotherapy Associates Inc
• Gabriel Sergey Plotnikov, BA
• Plumb Line Physical Therapy, LLC
• Pottstown Hospital Company LLC (Coventry Medical Group - FP#2)
• Premier Immediate Medical Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.