Individual provider Active NPI

Kristen Drollinger, LPCC

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1861879819
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1500012 Issued in OH
Practice address
3469 Fortuna Drive
Akron, OH 44312-5281
Phone
(330) 644-3469
Fax
(330) 644-8519
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1500012 OH
Mental Health Counselor 101YM0800X E.1500012 OH Primary

Addresses

Primary practice location

3469 Fortuna Drive
Akron, OH 44312-5281

Mailing address

3469 Fortuna Drive
Akron, OH 44312-5281
Phone (330) 644-3469

Other identifiers 1

IdentifierTypeStateIssuer
0268301MedicaidOH

Other names 1

  • Ms. Kristen Krivach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240723003135 OH Practitioner - Mental Health Counselor 2062958374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Family Institute, Inc.Group PAC ID 1658437389, 10 clinicians

Practice addresses (Care Compare)

3469 Fortuna Dr
Akron, OH 44312-5281
Phone (330) 644-3469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1500012OHMDMental Health Counselor
E1500012OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Family Institute, Inc. CurrentSince May 28, 2024 Accepting new patients

Locations

3469 Fortuna Dr
Green, OH 44312
Phone (330) 644-3469

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1861879819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 FORTUNA DRIVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125281",
            "telephone_number": "330-644-3469",
            "fax_number": "330-644-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 FORTUNA DRIVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125281",
            "telephone_number": "330-644-3469",
            "fax_number": "330-644-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROLLINGER",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1500012",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1500012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KRIVACH",
            "prefix": "MS.",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.