Kathryn Kornman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-10606 Issued in AZ

Practice address

901 E 46TH St
Tucson, AZ 85713-5008

Phone

(520) 792-5704

Fax

(520) 792-5724

NPI assigned

Jan 12, 2012

Last updated

Dec 9, 2016By 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 1

Addresses

Other names 1

• Kathryn Lane Kornman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Portable Practical Education Preparation, Inc

  dba PPEP Integrated Care

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1225135502
  NPD (past)
• Portable Practical Educational Preparation, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tucson, AZ
  • NPI 1558678524
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1750651360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 46TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135008",
            "telephone_number": "520-792-5704",
            "fax_number": "520-792-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 46TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135008",
            "telephone_number": "520-792-5704",
            "fax_number": "520-792-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNMAN",
        "first_name": "KATHRYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KORNMAN",
            "middle_name": "LANE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Korah
• Kevin Alexander Koralewski, O.D.
• Sophia Korb
• Kords Metro Service Inc
• Elaine Kornfeld
• Debra Kornmuller, RN
• Lev Nikolayevich Korovin, M.D.
• Andrew Korte I
• Gabriele M Koschorke, MD
• Paul Anthony Koscumb

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.