Active NPI
Linda Rose Kistler, MA ATR-BC
- Counselor
- Hazleton, PA
National Provider Identifier
1730360876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC004750
- Practice address
- 214 W Walnut St
Hazleton, PA 18201-6280 - Phone
- (570) 455-1521
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PC004750 | PA | Primary |
Addresses
Primary practice location
214 W Walnut St
Hazleton, PA 18201-6280
Mailing address
214 W Walnut St
Hazleton, PA 18201-6280
Phone (570) 455-1521
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004750 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Social Services, Inc. | Counselor | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1730360876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W WALNUT ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016280",
"telephone_number": "570-455-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W WALNUT ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016280",
"telephone_number": "570-455-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "LINDA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "MA ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC004750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.