KRISTEN OTTAKA LMHC NPI 1811569759

NPI Information

  • NPI: 1811569759
  • Provider Name: KRISTEN OTTAKA, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3251 ROUTE 112 BLDG 9
    MEDFORD, NY
    ZIP 11763
  • Phone: (631) 451-6007

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NPI Details

Kristen Ottaka, LMHC is a mental health counselor in Medford, NY. Kristen Ottaka, LMHC NPI is 1811569759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3251 ROUTE 112 BLDG 9
MEDFORD, NY
ZIP 11763-446
Phone: (631) 451-6007
Fax: (631) 297-8121

The enumeration date for this NPI number is 7/12/2021 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health011492NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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