Katherine London Kientzle, MA PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009000557 Issued in MO

Practice address

11709 Old Ballas Rd
Suite 103
Saint Louis, MO 63141-7029

Phone

(314) 432-2428

Fax

(314) 432-2222

NPI assigned

Jun 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1730409053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WINDSOR CT",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193948",
            "telephone_number": "314-491-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-2428",
            "fax_number": "314-432-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENTZLE",
        "first_name": "KATHERINE",
        "middle_name": "LONDON",
        "credential": "MA PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009000557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "27-1272761",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Marie Kiel, BSN,RN,RNFA,CNOR
• Larry Kiel, PH.D.
• Bridget Marie Kiely, MA, LPC
• Katherine Marie Kiely, PNP
• Jeane E Kiene, FNP-C
• Robert Kientzle, PHARM IN CHARGE
• Kiernan Chiropractic, Inc.
• John Edward Kiernan Jr., D.C.
• Mary Kiesel
• Danielle Kiesler, MFT

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.