Kristopher C Wuebbling, LPC, ATR-BC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011367 Issued in PA

Practice address

1735 Market St Ste A307
Philadelphia, PA 19103-7501

Phone

(267) 209-0010

Fax

(267) 930-6250

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Open Studio Cooperative

  • Professional Counselor
  • Erie, PA
  • NPI 1285423053

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1821629239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MARKET ST STE A307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037501",
            "telephone_number": "267-209-0010",
            "fax_number": "267-930-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MARKET ST STE A307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037501",
            "telephone_number": "267-209-0010",
            "fax_number": "267-930-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEBBLING",
        "first_name": "KRISTOPHER",
        "middle_name": "C",
        "credential": "LPC, ATR-BC, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "12442",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "18-018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• You Wu
• Yu-Hsin Wu, M.D.
• Yuan Wu, CRNP
• Araba Wubah, DO
• Eden Tesfaye Wudneh, M.D.
• Liza Resurreccion Wuhl, MS, RD, LDN, CNSD
• Lauren Gray Wulc, D.M.D.
• Maria Beth Wulin, PA-C
• Derek Wun, DO
• Michael P Wunder, RPH

• All providers in Philadelphia, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.