Individual provider Active NPI

Kristen T McCort, PCC

  • Professional Counselor
  • Wooster, OH
National Provider Identifier
1629073796
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E4300 Issued in OH
Practice address
365 Riffel Rd
Suite B
Wooster, OH 44691
Phone
(330) 345-3461
Fax
(330) 345-3462
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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 E4300 OH Primary

Addresses

Primary practice location

365 Riffel Rd
Suite B
Wooster, OH 44691

Mailing address

365 Riffel Rd
Suite B
Wooster, OH 44691
Phone (330) 345-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240215003028 OH Practitioner - Mental Health Counselor 1153765375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Therapy Center LLCGroup PAC ID 0840712295, 3 clinicians

Practice addresses (Care Compare)

4419 Cleveland Rd
Wooster, OH 44691-6601
Phone (330) 345-8450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4300OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Jan 1, 2024 Accepting new patients
Bowden & Associates Psychological and Counseling Services LLC CurrentSince Jun 25, 2024 Accepting new patients
Summit Therapy Center LLC CurrentSince Jan 16, 2025 Accepting new patients

Locations

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

365 Riffel Rd
Ste B
Wooster, OH 44691
Phone (330) 345-3461

4419 Cleveland Rd
Wooster, OH 44691
Phone (330) 345-8450

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1629073796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD",
            "address_2": "SUITE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-345-3461",
            "fax_number": "330-345-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD",
            "address_2": "SUITE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-345-3461",
            "fax_number": "330-345-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORT",
        "first_name": "KRISTEN",
        "middle_name": "T",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.