Active NPI
Kathryn Jean Soeder, LPC
- Professional Counselor
- Broomall, PA
National Provider Identifier
1598376972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012587
- Practice address
- 33 Fairview Rd
Broomall, PA 19008-1802 - Phone
- (717) 862-5652
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012587 | PA | Primary |
Addresses
Primary practice location
33 Fairview Rd
Broomall, PA 19008-1802
Mailing address
33 Fairview Rd
Broomall, PA 19008-1802
Phone (631) 707-6879
Other practice location 1
105 W Third St
Media, PA 19063-2401
Phone (717) 862-5652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012587 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1598376972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 FAIRVIEW RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190081802",
"telephone_number": "631-707-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 FAIRVIEW RD",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190081802",
"telephone_number": "717-862-5652"
}
],
"practiceLocations": [
{
"address_1": "105 W Third St",
"address_purpose": "LOCATION",
"city": "Media",
"state": "PA",
"postal_code": "190632401",
"country_code": "US",
"telephone_number": "717-862-5652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOEDER",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.