Individual provider Active NPI

Kristina Ann Jandron, LMHC

  • Specialist
  • Pawtucket, RI
National Provider Identifier
1962863142
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MHC00752 Issued in RI
Practice address
242 Dexter St
Pawtucket, RI 02860-1908
Phone
(401) 580-5912
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MHC00752 RI Primary

Addresses

Primary practice location

242 Dexter St
Pawtucket, RI 02860-1908

Mailing address

23 Brown St
North Kingstown, RI 02852-5057
Phone (401) 996-7390

Other practice location 1

PO Box 169
Fiskeville, RI 02823-0169
Phone (401) 996-7390

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
MHC00752RIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1962863142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BROWN ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525057",
            "telephone_number": "401-996-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 DEXTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601908",
            "telephone_number": "401-580-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 169",
            "address_purpose": "LOCATION",
            "city": "Fiskeville",
            "state": "RI",
            "postal_code": "028230169",
            "country_code": "US",
            "telephone_number": "401-996-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANDRON",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "MHC00752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.