Active NPI
Sara Kristen Kuntz, L.P.C.
- Professional Counselor
- Erie, PA
National Provider Identifier
1760817951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007107
- Practice address
- 2700 W 21St St
Suite 3
Erie, PA 16506-2972 - Phone
- (724) 771-4410
- NPI assigned
- Sep 6, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007107 | PA | Primary |
Addresses
Primary practice location
2700 W 21St St
Suite 3
Erie, PA 16506-2972
Mailing address
841 W 50TH St
Erie, PA 16509-2513
Phone (724) 771-4410
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007107 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots 2 Rising, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Midlothian, VA
- NPI 1669234217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1760817951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 W 50TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092513",
"telephone_number": "724-771-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W 21ST ST",
"address_2": "SUITE 3",
"city": "ERIE",
"state": "PA",
"postal_code": "165062972",
"telephone_number": "724-771-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "SARA",
"middle_name": "KRISTEN",
"name_prefix": "Miss",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.