Active NPI
Michael Kreidler, MFT
- Marriage & Family Therapist
- Moosic, PA
National Provider Identifier
1639595259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000769
- Practice address
- 2241 Shoppes Blvd
Moosic, PA 18507-2147 - Phone
- (570) 466-5435
- NPI assigned
- Mar 6, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000769 | PA | Primary |
Addresses
Primary practice location
2241 Shoppes Blvd
Moosic, PA 18507-2147
Mailing address
797 Main St
Sugar Notch, PA 18706-2019
Phone (570) 589-0140
Other practice location 1
110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301
Phone (570) 552-6000
Other practice location 2
189 Market St
Kingston, PA 18704-5400
Phone (570) 961-3361
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 |
|---|---|---|---|
| MF000769 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Renewal Collective | Current | Accepting new patients | |
| John G Kuna Psy D & Associates LLC | Current | Accepting new patients |
Locations
189 Market St
Kingston, PA 18704
Phone (570) 288-6220
2241 Shoppes Blvd
Moosic, PA 18507
Phone (570) 466-5435
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.
-
- Community/Behavioral Health Agency
- Moosic, PA
- NPI 1669304234
-
- Clinical Psychologist
- Moosic, PA
- NPI 1487936654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1639595259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 MAIN ST",
"city": "SUGAR NOTCH",
"state": "PA",
"postal_code": "187062019",
"telephone_number": "570-589-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 SHOPPES BLVD",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185072147",
"telephone_number": "570-466-5435"
}
],
"practiceLocations": [
{
"address_1": "110 S Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Wilkes Barre",
"state": "PA",
"postal_code": "187013301",
"country_code": "US",
"telephone_number": "570-552-6000",
"fax_number": "570-552-6021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "189 Market St",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "PA",
"postal_code": "187045400",
"country_code": "US",
"telephone_number": "570-961-3361",
"fax_number": "570-961-3364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREIDLER",
"first_name": "MICHAEL",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-06",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moosic, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.