Active NPI
Kristen M Dietz
- Counselor
- Lansdale, PA
National Provider Identifier
1669994653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1107 E Main St
Lansdale, PA 19446-3143 - Phone
- (610) 644-6464
- Fax
- (215) 412-5348
- NPI assigned
- Jul 11, 2017
- Last updated
- Jul 12, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1107 E Main St
Lansdale, PA 19446-3143
Mailing address
680 American Ave Ste 302
King of Prussia, PA 19406-4023
Phone (610) 644-6464
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Management Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1669994653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 AMERICAN AVE STE 302",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064023",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E MAIN ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194463143",
"telephone_number": "610-644-6464",
"fax_number": "215-412-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETZ",
"first_name": "KRISTEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
- Robert O Detweiler, DO
- Daniel J. Devine, M.D.
- Devinecare Health Services LLC
- Donna Marie Deviney, RPH
- Diamond Healthcare at Lansdale LLC (Eternity Care and Rehab Center)
- Anthony Dinenno
- Susan T Dinnocenti, NBC-HWC, DPP
- Patricia Dinunzio-Ruth, R.D.,LDN
- Marcelyn Diorio, DMD
- Divine Supreme Home Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.