Active NPI
Kayla Gross, LPC
- Professional Counselor
- Beavercreek, OH
National Provider Identifier
1083108286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2406345
- Practice address
- 1425 N Fairfield Rd Ste 100
Beavercreek, OH 45432-2674 - Phone
- (937) 320-3888
- Fax
- (937) 320-3848
- NPI assigned
- Jun 20, 2018
- 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 | C.2406345 | OH | Primary |
Addresses
Primary practice location
1425 N Fairfield Rd Ste 100
Beavercreek, OH 45432-2674
Mailing address
PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other practice location 1
3300 W Tech Blvd
Miamisburg, OH 45342-4865
Phone (937) 641-4040
Other practice location 2
860 Valley St
Dayton, OH 45404-2066
Phone (937) 641-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171776 | Medicaid | OH |
Other names 1
- Kayla Zornes-Gardner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2406345 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Hospital | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Dayton, OH
- NPI 1952480030
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1083108286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933421",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-5072",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N FAIRFIELD RD STE 100",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454322674",
"telephone_number": "937-320-3888",
"fax_number": "937-320-3848"
}
],
"practiceLocations": [
{
"address_1": "3300 W Tech Blvd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453424865",
"country_code": "US",
"telephone_number": "937-641-4040",
"fax_number": "937-641-3066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "860 Valley St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454042066",
"country_code": "US",
"telephone_number": "937-641-3060",
"fax_number": "937-641-3285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSS",
"first_name": "KAYLA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2406345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0171776",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "ZORNES-GARDNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.