Katherine Jendral, LMT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG012568 Issued in PA

Practice address

103 N 7TH St
Stroudsburg, PA 18360-2154

Phone

(570) 726-1770

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clear Mountain, LLC

  dba Clear Mountain Wellness

  • Massage Therapist
  • Stroudsburg, PA
  • NPI 1174496004
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1720726870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 7TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602154",
            "telephone_number": "570-726-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 7TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602154",
            "telephone_number": "570-726-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDRAL",
        "first_name": "KATHERINE",
        "credential": "LMT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01320600",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG012568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intrinsic Empowerment Counseling
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• Tara James, LCSW
• Ram Reddy Jannapureddy
• Romaine G Johnson, OD
• Caroline McKinley Johnston, LCSW
• Kristen Jolly, RN
• Shahida Jones, LSW
• Sahlia Kai Joseph-Pauline, DO

• Massage Therapist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.