Active NPI
Kristin Vincenzes, PH.D., LPC, NCC, ACS
- Professional Counselor
- Williamsport, PA
National Provider Identifier
1992134993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC006759
- Practice address
- 393 Eldred St
Williamsport, PA 17701-2340 - Phone
- (717) 818-5377
- NPI assigned
- Nov 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PC006759 | PA | Primary |
Addresses
Primary practice location
393 Eldred St
Williamsport, PA 17701-2340
Mailing address
270 Greenfield Dr
Montoursville, PA 17754-6700
Phone (717) 818-5377
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006759 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456531200000",
"number": "1992134993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 GREENFIELD DR",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177546700",
"telephone_number": "717-818-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 ELDRED ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177012340",
"telephone_number": "717-818-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENZES",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, NCC, ACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-11",
"last_updated": "2016-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.