Individual provider Active NPI

Kristen Neidert, LIMFT

  • Marriage & Family Therapist
  • Akron, OH
National Provider Identifier
1912514332
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2300355 Issued in OH
Practice address
1221 E Waterloo Rd
Akron, OH 44306-3805
Phone
(234) 738-2402
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F.2300355 OH Primary

Addresses

Primary practice location

1221 E Waterloo Rd
Akron, OH 44306-3805

Mailing address

553 Stratford Ave # 2
Akron, OH 44303-1821

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bellefairejcb.org Direct

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

LicenseStateTypeSpecialty
F.2300355OHMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1912514332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 STRATFORD AVE # 2",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063805",
            "telephone_number": "234-738-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERT",
        "first_name": "KRISTEN",
        "credential": "LIMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2300355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bellefairejcb.org",
            "affiliation": "N",
            "endpointDescription": "Bellefaire website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1221 E Waterloo Rd",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443063805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.