Active NPI
Kaitlyn Surrett
- Marriage & Family Therapist
- Lancaster, PA
National Provider Identifier
1821881921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF001714
- Practice address
- 1605 Manor Blvd
Lancaster, PA 17603-9405 - Phone
- (406) 763-7485
- NPI assigned
- May 22, 2025
- Last updated
- May 22, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF001714 | PA | Primary |
Addresses
Primary practice location
1605 Manor Blvd
Lancaster, PA 17603-9405
Mailing address
1605 Manor Blvd
Lancaster, PA 17603-9405
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
| License | State | Type | Specialty |
|---|---|---|---|
| MF001714 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1821881921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 MANOR BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176039405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 MANOR BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176039405",
"telephone_number": "406-763-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRETT",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF001714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
- Superior Oxygen and Medical Supply, Inc.
- Karen Anne Suppi, CRNA
- Edward William Supple, M.D.
- Supports Coordination Group, LLC (PA Health Management)
- Surgery Center of Lancaster, LLC
- Susquehanna Valley Women's Health Care, PC (Drs. May Grant Associates)
- Gilbert Sussman, MD
- Breanna M Sutcliffe, MT
- Erin Sutcliffe, M.S., C.G.C.
- Baseema Sutton, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.