KRISTIN GORMAN PCC
NPI 1871933713
Counselor in Middletown, OH

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
1659 S BREIEL BLVD, MIDDLETOWN, OH 45044(513) 424-0921(513) 424-4810 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Gorman Pcc NPPES

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

KRISTIN GORMAN PCC (NPI 1871933713) is an individual counselor in Middletown, Ohio, licensed in Ohio (E.0900219) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871933713
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKRISTIN GORMANCredential: PCC
Location Address1659 S BREIEL BLVDMiddletown, OH 45044-6705
Mailing Address1659 S Breiel BlvdMiddletown, OH 45044-6705 · (513) 424-0921 · Fax (513) 424-4810
Fax(513) 424-4810
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 25, 2013
NPI 1871933713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OH · E.0900219
Definition
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.
1659 S BREIEL BLVD, Middletown, OH 45044

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Gorman Pcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799260014
PECOS Enrollment IDI20260403000717
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Counselor (Mental Health)
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Counselor
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Social Worker
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Registered Nurse (Psychiatric/Mental Health)
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Social Worker
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Counselor (Mental Health)
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044
Counselor (Addiction (Substance Use Disorder))
1659 S BREIEL BLVD
MIDDLETOWN, OH 45044

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 Kristin Gorman's NPI number?

The NPI number for Kristin Gorman is 1871933713. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Kristin Gorman located?

Kristin Gorman practices at 1659 S Breiel Blvd, Middletown, OH 45044. The listed phone number is (513) 424-0921.

What is Kristin Gorman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kristin Gorman enrolled in Medicare?

Yes. Kristin Gorman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristin Gorman was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.