KRISTEN M DIETZ (NPI# 1669994653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669994653 |
| Entity Type | Individual |
| Full Name | KRISTEN M DIETZ |
| Practice Address |
1107 E Main St Lansdale PA 19446-3143 |
| Mailing Address |
680 American Ave Ste 302 King of Prussia PA 19406-4023 |
| Practice Telephone | 6106446464 |
| Practice Fax Number | 2154125348 |
| Mailing Telephone | 6106446464 |
| Mailing Fax Number | 6109816078 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1107 E MAIN ST |
| City | LANSDALE |
| State | PA |
| Zip Code | 19446-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881658540 | Theodore Evor Olson | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2006-04-12 |
| 1477189868 | Timothy Barnes | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2020-03-17 |
| 1821631383 | Jennifer Rowley | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2019-10-28 |
| 1265099972 | James Hoffman | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2019-05-29 |
| 1245724277 | Shinique Wright | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2018-06-22 |
| 1851899264 | Jerome Duncan | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2018-01-31 |
| 1518496579 | Courtney M Balban | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2017-06-05 |
| 1730620238 | Elizabeth Lopez | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2017-03-16 |
| 1447631288 | Jack R. Kramer | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2015-06-17 |
| 1588053417 | Allyson Annette Wills | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2015-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
| 1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
| 1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
| 1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
| 1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
| 1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
| 1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
| 1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174150585 | Erica Lynne Madge | Counselor | 424 Bonnie Ln, Lansdale, PA 19446-1549 | 2020-03-25 |
| 1164947826 | Andlia Resources LLC | Counselor | 861 W Main St Ste 300, Lansdale, PA 19446-2015 | 2017-08-03 |
| 1316212913 | Jennifer M Ellis | Counselor | 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 | 2012-03-14 |
| 1518496579 | Courtney M Balban | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2017-06-05 |
| 1730620238 | Elizabeth Lopez | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2017-03-16 |
| 1225478001 | Matthew J Cassano | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2013-06-26 |
| 1255696332 | Edie D Weinstein Moser | Counselor | 1107 E Main St, Lansdale, PA 19446-3143 | 2012-07-05 |
| 1467649178 | Laura Michaels | Counselor | 200 N Chestnut St, Lansdale, PA 19446-2657 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810781 | Marina Kogot James | Counselor | 123 New St, Glenside, PA 19038-4511 | 2020-10-30 |
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1245838309 | Karen Cowell | Counselor | 220 Redfield Dr, Oakdale, PA 15071-1732 | 2020-10-12 |
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1477169217 | Sharmayne Bolling | Counselor | 272 East Connelly Blvd, Sharon, PA 16146 | 2020-09-17 |
| 1235745209 | Kelli Ann Frey | Counselor | 523 Lenore Pl, Reading, PA 19609-1223 | 2020-09-16 |
| 1750996179 | Angelina Privitera | Counselor | 1093 Douglass Dr, Apt A, Boyertown, PA 19512 | 2020-09-11 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1366057135 | Meg Barnes | Counselor | 3501 Forbes Ave # 9, Pittsburgh, PA 15213-3317 | 2020-09-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.