Active NPI
Kristine L Caudill, LPC
- Professional Counselor
- York, PA
National Provider Identifier
1952476095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004349
- Practice address
- 141 E Market St
York, PA 17401-1221 - Phone
- (717) 845-6624
- Fax
- (717) 845-6626
- NPI assigned
- Nov 22, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004349 | PA | Primary |
Addresses
Primary practice location
141 E Market St
York, PA 17401-1221
Mailing address
821 Latimer St
York, PA 17404-2531
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 |
|---|---|---|---|
| PC004349 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952476095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 LATIMER ST",
"city": "YORK",
"state": "PA",
"postal_code": "174042531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011221",
"telephone_number": "717-845-6624",
"fax_number": "717-845-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "KRISTINE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
- Catherine H. Bene, M.D.
- Barbara L Caton, DO
- Stephen Vincent Cattalo, CRNA
- Mark F Catterall, MD
- Rosa Luz Catterall, LSW
- Kristen L Cavanaugh, MS
- Center for Behavioral Health Ha, LLC (York Comprehensive Treatment Center)
- Center for Creative Arts and Play Therapy
- Central Medical Equipment Co (Dynamic Healthcare Services PA)
- Central Pennsylvania Alliance Laboratory LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.