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KRISTEN OTTAKA LMHC
NPI 1811569759
Counselor - Mental Health in Medford, NY

Active since July 12, 2021
3251 ROUTE 112 BLDG 9, MEDFORD, NY 11763(631) 451-6007(631) 297-8121 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Ottaka Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN OTTAKA LMHC (NPI 1811569759) is an individual mental health provider in Medford, New York, licensed in New York (011492) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1811569759
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTEN OTTAKACredential: LMHC
Location Address3251 ROUTE 112 BLDG 9Medford, NY 11763-1446
Mailing Address3251 Route 112 Bldg 9Medford, NY 11763-1446 · (631) 451-6007 · Fax (631) 297-8121
Phone(631) 451-6007
Fax(631) 297-8121
Sole ProprietorYes
Enumeration DateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
✔ NPI 1811569759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 011492
3251 ROUTE 112 BLDG 9, Medford, NY 11763
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA BACCHUS LMSW
Social Worker
3251 ROUTE 112 BLDG 9
MEDFORD, NY 11763
Suffolk County (631) 451-6007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Ottaka's NPI number?

The NPI number for Kristen Ottaka is 1811569759. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Kristen Ottaka located?

Kristen Ottaka practices at 3251 Route 112 Bldg 9, Medford, NY 11763. The listed phone number is (631) 451-6007.

What is Kristen Ottaka's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kristen Ottaka was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.