Kristine Lynn Kent, CERTIFIED ADDICTION

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3901 Issued in PA

Practice address

724 Phillips St
Suite a
Stroudsburg, PA 18360-2242

Phone

(570) 517-0892

Fax

(570) 476-6466

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Catholic Social Services Inc

  • Community/Behavioral Health Agency
  • Stroudsburg, PA
  • NPI 1770880205
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1790069060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS ST",
            "address_2": "SUITE A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-517-0892",
            "fax_number": "570-476-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS ST",
            "address_2": "SUITE A",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-517-0892",
            "fax_number": "570-476-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "KRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "CERTIFIED ADDICTION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "3901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kieran Kehlor
• Kathleen E Kelly, RN
• Sharon M Kennedy, LPC
• Colin Kenny, CRNP-BC
• Desirae Ann Kenosky, CRNP
• Key to Happiness Home Care, LLC
• Nazia Khan, M.D.
• Katelyn Kinczel
• Kathrine Ann King, PA
• Yelena Kipervas, MD

• Addiction (Substance Use Disorder) Counselor in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.