Active NPI
Kathryn Therrien, LPC, LMHC
- Professional Counselor
- Blue Bell, PA
National Provider Identifier
1881126704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009577
- Practice address
- 1717 Swede Rd Ste 212
Blue Bell, PA 19422-3372 - Phone
- (267) 419-7878
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00577700 | NJ | |
| Mental Health Counselor | 101YM0800X | 004902 | NY | |
| Professional Counselor | 101YP2500X | PC009577 | PA | Primary |
Addresses
Primary practice location
1717 Swede Rd Ste 212
Blue Bell, PA 19422-3372
Mailing address
1717 Swede Rd Ste 212
Blue Bell, PA 19422-3372
Phone (267) 419-7878
Other names 1
- Kathryn Moyer
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 |
|---|---|---|---|
| 004902 | NY | MD | Mental Health Counselor |
| 37PC00577700 | NJ | MD | Professional Counselor |
| PC009577 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Point Wellness Counseling LLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Blue Bell, PA
- NPI 1457886384
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625961600000",
"number": "1881126704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 SWEDE RD STE 212",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223372",
"telephone_number": "267-419-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SWEDE RD STE 212",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223372",
"telephone_number": "267-419-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERRIEN",
"first_name": "KATHRYN",
"credential": "LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2021-07-11",
"certification_date": "2021-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00577700",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004902",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MOYER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.