Individual provider Active NPI

Ken Klinedinst

  • Mental Health Counselor
  • York, PA
National Provider Identifier
1801287289
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BH000938 Issued in PA
Practice address
2351 Freedom Way
Ste 200
York, PA 17402-9282
Phone
(717) 600-0900
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BH000938 PA Primary

Addresses

Primary practice location

2351 Freedom Way
Ste 200
York, PA 17402-9282

Mailing address

2351 Freedom Way
Ste 200
York, PA 17402-9282
Phone (717) 600-0900

Other identifiers 1

IdentifierTypeStateIssuer
BH000938OtherPAPA DEPT OF STATE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH000938PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Comprehensive Behavioral Health Services, LLC PastSince Oct 16, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1801287289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 FREEDOM WAY",
            "address_2": "STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029282",
            "telephone_number": "717-600-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 FREEDOM WAY",
            "address_2": "STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029282",
            "telephone_number": "717-600-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINEDINST",
        "first_name": "KEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "BH000938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPT OF STATE",
            "identifier": "BH000938",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.