Kristina L Edler, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

I.1451189 Issued in OH

Legal business name

KRISTINA L EDLER, LLC

Practice address

3040 Riverside Dr Ste 206
Upper Arlington, OH 43221-2550

Phone

(614) 209-1234

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Kristina L Edler, LISWSNPI 1811343353

Title

Clinical Therapist

Phone

(614) 209-1234

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Edler, LISW-S

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1811343353
  NPD (past) Authorized official

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1811410210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 MOUNT HOLYOKE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213425",
            "telephone_number": "614-209-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 206",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432212550",
            "telephone_number": "614-209-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA L EDLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "EDLER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "614-209-1234",
        "authorized_official_credential": "LISWS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "I.1451189",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "I.1451189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Knezevic
• Alexandra Knox, MD
• David A Kohlrieser, PT
• Kimberly M. Kopfman, CPNP
• Stephen S Koppes, P.A.-C
• Jennifer Nicole Krizman, PT
• Scott Daniel Kuhn, PT
• Sara Bourne Lacy, PSY.D.
• Kiran Mayee Lakkarajula Subuddi
• Nicholas Josef Latorre, PA-C

• Adult Mental Health Clinic/Center in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.