Active NPI
Kristen Neidert, LIMFT
- Marriage & Family Therapist
- Akron, OH
National Provider Identifier
1912514332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F.2300355
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F.2300355 | OH | MD | Marriage & 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.