Active NPI
Kayla Pacic, MA
- Professional Counselor
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756 - Phone
- (586) 335-2006
- NPI assigned
- Aug 12, 2019
- Last updated
- May 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756
Mailing address
4341 Summerlane Ave NE
Grand Rapids, MI 49525-9507
Phone (616) 558-6837
Other practice location 1
3501 Lake Eastbrook Blvd SE Ste 120
Grand Rapids, MI 49546-5939
Phone (313) 403-8464
Other names 1
- Kayla Schramski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Pacic Counseling Services, PLLC | Professional | Current | Accepting new patients |
| On Earth Project | Current | Accepting new patients |
Locations
3501 Lake Eastbrook Blvd SE
Ste 120
Grand Rapids, MI 49546
Phone (206) 696-8765
4081 Cascade Rd SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 319-1978
34441 8 Mile Rd
Ste 116
Livonia, MI 48152
Phone (248) 615-1533
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Livonia, MI
- NPI 1154892784
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1104519859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1073169553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 SUMMERLANE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259507",
"telephone_number": "616-558-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23100 JEFFERSON AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802756",
"telephone_number": "586-335-2006"
}
],
"practiceLocations": [
{
"address_1": "3501 Lake Eastbrook Blvd SE Ste 120",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495465939",
"country_code": "US",
"telephone_number": "313-403-8464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACIC",
"first_name": "KAYLA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "SCHRAMSKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.