Organization Active NPI

By Your Side Counseling

  • Clinical Social Worker
  • Ephrata, PA
National Provider Identifier
1790346815
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BY YOUR SIDE COUNSELING
Doing business as
Kristina Dundore
Practice address
333 N State St Ste 203
Ephrata, PA 17522-2236
Phone
(717) 917-3854
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Kristina Dundore, LCSW
Title
LCSW
Phone
(717) 917-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

333 N State St Ste 203
Ephrata, PA 17522-2236

Mailing address

228 Witmer Rd
Reinholds, PA 17569-9012
Phone (717) 917-3854

Other names 1

  • Kristina Dundore Doing business as

National Provider Directory

National Provider Directory

Locations

333 N State St
Ste 203
Ephrata, PA 17522
Phone (717) 917-3854

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1790346815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WITMER RD",
            "city": "REINHOLDS",
            "state": "PA",
            "postal_code": "175699012",
            "telephone_number": "717-917-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N STATE ST STE 203",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222236",
            "telephone_number": "717-917-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY YOUR SIDE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "DUNDORE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "717-917-3854",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristina Dundore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.