Kayla Marie Klacik, BA, CPST

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

100 Broadway Ave
Youngstown, OH 44505-2789

Phone

(330) 744-9020

NPI assigned

Sep 19, 2023

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

Credentials

Bachelor of Arts

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.

• New Beginnings Residential Treatment Center, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Youngstown, OH
  • NPI 1245644921
  NPD (past)

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1235917436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 DEER CREEK DR",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444713101",
            "telephone_number": "330-506-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052789",
            "telephone_number": "330-744-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLACIK",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BA, CPST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Kistner
• Kitchenabz LLC
• Brittney Ann Kittle
• Stephen Kitzmiller
• Bader Kiwan, DO
• Erin E Klamer
• Rachel Jane Klem
• Amy J Kline
• Haley Marie Kline
• Zoie Lynne Kline

• Case Manager/Care Coordinator in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.