MEDICARE: KIRSTIN BREANNE STERN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	195794	OH

General Provider Information

NPI Number	:	1184568099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTIN BREANNE STERN

Provider Business Mailing Address
First Line	:	1017 SUMMIT ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3545
Country	:	US
Telephone Number	:	614-557-9786
Fax Number	:

Provider Business Practice Location Address
First Line	:	4998 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1647
Country	:	US
Telephone Number	:	888-643-7567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ KIRSTIN BREANNE STERN ” Practice Location

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