Kristin Michele Deforest, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12466 Issued in PA

Practice address

1740 S Easton Rd
Doylestown, PA 18901-2885

Phone

(215) 343-7720

Fax

(215) 343-2783

NPI assigned

Mar 31, 2010

Last updated

Apr 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Chor Youth and Family Services, Inc.

  dba Edison Court, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Doylestown, PA
  • NPI 1205599263
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1710202908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 S MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014640",
            "telephone_number": "215-345-8638",
            "fax_number": "215-345-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S EASTON RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012885",
            "telephone_number": "215-343-7720",
            "fax_number": "215-343-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOREST",
        "first_name": "KRISTIN",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "12466",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "12465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101250539",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Debias, D.O.
• Deborah R Bernstein MD LLC
• Ellen Decker, PSY.D.
• Julie Anne Dees, M.A.
• Amy Deeter, OTR/L
• Heather Renee Degroot, PSY.D.
• Kendra Rainey Dehaven, MA CCC-SLP
• Meghan Leigh Delaney
• Delaware Valley Mental Health Foundations (Foundations Behavioral Health)
• Victoria R Dellaporte, LCSW

• Mental Health Counselor in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.