Kristopher Fross, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17573 Issued in FL

Practice address

1221 W Lakeview Ave
Pensacola, FL 32501-1836

Phone

(850) 469-3500

NPI assigned

Jan 14, 2020

Sex

Male

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

Enrolled in FL

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgeway Center, IncGroup PAC ID 0446153084, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bridgeway Center Inc

  • Community/Behavioral Health Agency
  • Fort Walton Beach, FL
  • NPI 1578677076

  Mental Health

  Medicare reassignment Care Compare group NPD
• Bridgeway Center, Inc

  • General Practice Physician
  • Fort Walton Beach, FL
  • NPI 1174169080
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1619517984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011836",
            "telephone_number": "850-469-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011836",
            "telephone_number": "850-469-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROSS",
        "first_name": "KRISTOPHER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendly Eyes Vision of Illinois PLLC
• Kaitlynn Frierson
• Meghan Frisbie
• James Andrew Fritschle, LMT
• Front Line Emergency Physicians, LLC
• James D Frost, MD
• FRPS Group LLC
• Madilyn Frye
• Melanie Elise Fryou, LCSW
• Fsu Pediatric Residency Program

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.