Katelyn Irene Jakubovic, MA, NCC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC012604 Issued in PA

Practice address

30 S 15TH St Ste 1550
Philadelphia, PA 19102-4806

Phone

(724) 804-8591

NPI assigned

Aug 11, 2020

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Favored Wellness Counseling and Consulting, LLC

  • Professional Counselor
  • Moon Township, PA
  • NPI 1457986721
  Medicare reassignment NPD
• Awakening Counseling & Consulting, LLC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1346080264
  NPD Authorized official

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1164033528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SPRING ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501932",
            "telephone_number": "724-771-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST STE 1550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "724-804-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Moon Township",
            "state": "PA",
            "postal_code": "151082322",
            "country_code": "US",
            "telephone_number": "412-339-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKUBOVIC",
        "first_name": "KATELYN",
        "middle_name": "IRENE",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC012604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raji Susan Jaison
• Jay Jaiswal, MD
• Priya Jaiswal
• Patrick Jajua
• Nicole Lynn Jakobowski, AGNP-C
• Katherine Blythe Jakubowski
• Anudeep Jala
• Kinnera Jalagam, MD
• Jalal Badie Jalaly, MD
• Anavi Arun Jalan

• Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.

Verify at the official NPI Registry.