Kristine Boehmer, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5707 Issued in MD

Practice address

3510 Worthington Blvd Ste 101
Urbana, MD 21704-7033

Phone

(301) 514-2359

Fax

(240) 367-9163

NPI assigned

Jun 2, 2014

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristine Halter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1720490220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 WORTHINGTON BLVD STE 101",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047033",
            "telephone_number": "301-514-2359",
            "fax_number": "240-367-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 WORTHINGTON BLVD STE 101",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047033",
            "telephone_number": "301-514-2359",
            "fax_number": "240-367-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHMER",
        "first_name": "KRISTINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "HALTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Urbana, MD
• Providers in Urbana, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.