Kaitlin Babyak

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012246 Issued in PA

Practice address

1811 Bethlehem Pike BLDG B3
Flourtown, PA 19031-1111

Phone

(617) 642-7501

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1235746108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 TUDOR RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261747",
            "telephone_number": "617-642-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE BLDG B3",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "617-642-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Tudor Rd",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194261747",
            "country_code": "US",
            "telephone_number": "617-642-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABYAK",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Bailey, MD
• Laura A Baker, M.ED
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• Bariatric Medicine Institute
• Madison Bear, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.