Active NPI
Danielle Kissel, MA, BSL
- Behavior Analyst
- Wallingford, PA
National Provider Identifier
1821743873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH002058
- Practice address
- 1314 Putnam Blvd
Wallingford, PA 19086-6769 - Phone
- (610) 563-7007
- NPI assigned
- Feb 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Dance Therapist | 225600000X | |||
| Behavior Analyst | 103K00000X | BH002058 | PA | Primary |
Addresses
Primary practice location
1314 Putnam Blvd
Wallingford, PA 19086-6769
Mailing address
1314 Putnam Blvd
Wallingford, PA 19086-6769
Phone (610) 563-7007
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
- Credentials
- Bachelor of Science - Law, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH002058 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1821743873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 PUTNAM BLVD",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190866769",
"telephone_number": "610-563-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 PUTNAM BLVD",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190866769",
"telephone_number": "610-563-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSEL",
"first_name": "DANIELLE",
"credential": "MA, BSL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH002058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.