Individual provider Active NPI

Kristen Hutch, LAMFT

  • Marriage & Family Therapist
  • Pooler, GA
National Provider Identifier
1649907106
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
205 S Skinner Ave Unit B
Pooler, GA 31322-3221
Phone
(912) 349-8043
Fax
(912) 988-1204
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 Primary

Addresses

Primary practice location

205 S Skinner Ave Unit B
Pooler, GA 31322-3221

Mailing address

58 Summerhill Drive NE
Ludowici, GA 31316
Phone (254) 630-5128

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Counseling and Consulting Services, LLC. Marriage & Family Therapist PastSince Aug 7, 2022 Accepting new patients
Building Blocks Family Counseling Marriage & Family Therapist PastSince Aug 7, 2022 Accepting new patients

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1649907106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SUMMERHILL DRIVE NE",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "31316",
            "telephone_number": "254-630-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SKINNER AVE UNIT B",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223221",
            "telephone_number": "912-349-8043",
            "fax_number": "912-988-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCH",
        "first_name": "KRISTEN",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.