Individual provider Active NPI

Kristy Ann Frick, MS, CRC, LPC

  • Professional Counselor
  • Throop, PA
National Provider Identifier
1871996165
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005727 Issued in PA
Practice address
1 Line St, Ste 3
Throop, PA 18512
Phone
(570) 507-3189
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005727 PA Primary

Addresses

Primary practice location

1 Line St, Ste 3
Throop, PA 18512

Mailing address

1 Line St, Ste 3
Throop, PA 18512
Phone (570) 507-3189

Other practice location 1

1021 Moosic St
Scranton, PA 18505-4550
Phone (570) 961-3361

Other names 1

  • Kristy Ann Fiore Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240501000959 PA Practitioner - Mental Health Counselor 7113367699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 E Drinker St
Suite 2
Dunmore, PA 18512-2549
Phone (570) 507-3189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC005727PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Steadyrise Counseling LLC Current Accepting new patients
Frick Counseling LLC Professional CurrentSince Mar 21, 2024 Accepting new patients
John G Kuna Psy D & Associates LLC Past Accepting new patients

Locations

629 E Drinker St
Ste 2
Dunmore, PA 18512
Phone (570) 209-5981

1 Line St
Ste 3
Throop, PA 18512
Phone (570) 507-3189

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1871996165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINE ST, STE 3",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "18512",
            "telephone_number": "570-507-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINE ST, STE 3",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "18512",
            "telephone_number": "570-507-3189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Moosic St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185054550",
            "country_code": "US",
            "telephone_number": "570-961-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICK",
        "first_name": "KRISTY",
        "middle_name": "ANN",
        "credential": "MS, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "FIORE",
            "middle_name": "ANN",
            "credential": "MS CRC LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Throop, PA

Sources for this page

Verify at the official NPI Registry.