Provider Demographics
NPI:1689088619
Name:KUMPF, KEVIN (NCC, ACS, PHD, LPC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:KUMPF
Suffix:
Gender:M
Credentials:NCC, ACS, PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 LINDSAY RD
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3828
Mailing Address - Country:US
Mailing Address - Phone:412-915-6397
Mailing Address - Fax:
Practice Address - Street 1:615 WASHINGTON RD
Practice Address - Street 2:SUITE 204
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1901
Practice Address - Country:US
Practice Address - Phone:412-418-9019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional