Kayla Powell, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1235891 Issued in IL

Practice address

330 SW Washington St
Peoria, IL 61602-1406

Phone

(309) 676-2400

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling & Family Services

  • Community/Behavioral Health Agency
  • Peoria, IL
  • NPI 1396876140
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1154964534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW WASHINGTON ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021406",
            "telephone_number": "309-676-2400",
            "fax_number": "309-676-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW WASHINGTON ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021406",
            "telephone_number": "309-676-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KAYLA",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "1235891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Porter, DO
• Sylvia Joyce Porter, MA, NCC, LCPC
• Bradley Allen Post, LCSW
• Ryan Gerald Potempa, MS, LMFT
• Shirley Potts
• Divyang Pradhan, MBBS
• Prairie Spine and Pain Institute SC
• Prairie Surgicare, LLC
• Prairieland Counseling
• Matthew Michael Preston, M.D.

• Mental Health Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.