Healthcare Provider Details

I. General information

NPI: 1669505897
Provider Name (Legal Business Name): KRISTEN A. NASTA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 MAIN ST
NEW PALTZ NY
12561-1551
US

IV. Provider business mailing address

124 MAIN ST STE 9A
NEW PALTZ NY
12561-1551
US

V. Phone/Fax

Practice location:
  • Phone: 845-522-9368
  • Fax: 845-853-1551
Mailing address:
  • Phone: 845-522-9368
  • Fax: 845-853-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number004268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: