Provider Demographics
NPI:1417205600
Name:KEMPSKI, CHRISTOPHER THOMAS (LMHC, LRC, CRC, CPT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:KEMPSKI
Suffix:
Gender:M
Credentials:LMHC, LRC, CRC, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 570433
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-0433
Mailing Address - Country:US
Mailing Address - Phone:917-648-7604
Mailing Address - Fax:
Practice Address - Street 1:14962 POWELLS COVE BLVD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1147
Practice Address - Country:US
Practice Address - Phone:917-648-7604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37RT00432300101Y00000X
NY001744-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001744-1OtherLMHC
NJ37RT00432300OtherLRC