Kristen Michelle Custer, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

22868 Rout 68, Suite 5
Clarion, PA 16214

Phone

(814) 227-2941

NPI assigned

Aug 3, 2022

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Clarion Family Therapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarion, PA
  • NPI 1366863870
  Medicare reassignment NPD
• Family Therapy Services Inc.

  • Community/Behavioral Health Agency
  • Brookville, PA
  • NPI 1942405576
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1811624562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S 2ND AVE STE D",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162142464",
            "telephone_number": "914-900-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22868 ROUT 68, SUITE 5",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "16214",
            "telephone_number": "814-227-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Orbic Crawford, ATC, LAT, EMT
• Theresa Crawford, B.S
• Thomas W Crissman, M.A., LPC, NCC
• Catherine Ann Cunningham, D.O.
• Kristen Curreri, ATC
• Christian J Cyphert, DPT
• Darrell J. Datko DO (DJD Anesthesia Associates)
• Darrell J. Datko, DO
• Brenda Daugherty-Shrivastava
• Melissa Hammer Daugherty, LCSW

• Mental Health Counselor in Clarion, PA
• Providers in Clarion, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.