Kathryn M. Nickischer, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC006665 Issued in PA

Legal business name

KATHRYN M. NICKISCHER, LLC

Practice address

628 Twin Ponds Rd
Breinigsville, PA 18031-1843

Phone

(484) 263-0197

Fax

(412) 794-6159

NPI assigned

Jul 4, 2016

Organization subpart

No

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

Authorized official

Name

Miss Kathryn M Friel, LPC, NCCNPI 1497090492

Title

Director

Phone

(484) 895-8007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara B Duda, LCSW

  • Clinical Social Worker
  • Breinigsville, PA
  • NPI 1407119159
  Medicare reassignment Care Compare group NPD
• Kathryn M Friel, LPC

  • Professional Counselor
  • Breinigsville, PA
  • NPI 1497090492

  Mental Health

  Medicare reassignment NPD Authorized official
• Rachel Lara Little, LCSW

  • Mental Health Counselor
  • Zionsville, PA
  • NPI 1447505573
  Medicare reassignment Care Compare group NPD
• Susan Mary Featro

  • Professional Counselor
  • Lehighton, PA
  • NPI 1689274375

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1932551884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 DAYSPRING DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069488",
            "telephone_number": "484-895-8007",
            "fax_number": "412-794-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 TWIN PONDS RD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311843",
            "telephone_number": "484-263-0197",
            "fax_number": "412-794-6159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Blakeslee Boulevard Dr W",
            "address_purpose": "LOCATION",
            "city": "Lehighton",
            "state": "PA",
            "postal_code": "182359730",
            "country_code": "US",
            "telephone_number": "484-263-0197",
            "fax_number": "412-794-6159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHRYN M. NICKISCHER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-04",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "FRIEL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "484-895-8007",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fnu Joseph Fu Ngwa, LPN
• Claire Fellows Kafantaris, P.T.
• Robin Lynn Kaplan, DC
• Whitney Keefner, LPC
• Patrick John Keschl, LPN
• Sijjad Ahmed Khan, RN
• Andrew Lazo, M.S.
• Lehigh Valley Urgent Care LLC

• Mental Health Counselor in Breinigsville, PA
• Providers in Breinigsville, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.