Individual provider Active NPI

Michael Kreidler, MFT

  • Marriage & Family Therapist
  • Moosic, PA
National Provider Identifier
1639595259
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000769 Issued in PA
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

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MF000769PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Renewal Collective CurrentSince Nov 24, 2024 Accepting new patients
John G Kuna Psy D & Associates LLC CurrentSince Nov 24, 2024 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.

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.

Verify at the official NPI Registry.