Kathleen B. Pae, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC000654 Issued in PA

Practice address

3800 West 12TH Street
Ste 5
Erie, PA 16505-3380

Phone

(814) 838-2282

Fax

(814) 969-7730

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathleen A. Blackburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Solutions Et Al, Inc,

  • Professional Counselor
  • Erie, PA
  • NPI 1033174966

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1215993746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WEST 12TH STREET",
            "address_2": "STE 5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053380",
            "telephone_number": "814-838-2282",
            "fax_number": "814-969-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WEST 12TH STREET",
            "address_2": "STE 5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053380",
            "telephone_number": "814-838-2282",
            "fax_number": "814-969-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAE",
        "first_name": "KATHLEEN",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "CAC NUMBER  0512",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BLACKBURN",
            "middle_name": "A.",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Elizabeth Pacinelli, MAT, LAT, ATC
• Susan Elizabeth Packard, LPC, PSYCHOLOGIST
• Sarah Packosky
• Davona LC Pacley, CD
• Charles F Pados, D.C.
• Pain MGMT Associates
• Pain Solutions of Erie LLC
• Hillary C Palczer
• Rosanne M Palermo, DMD
• Michael N Pallone, M.D.

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.