Individual provider Active NPI

Kathleen Mary Durlak, L.P.C.C.

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1245210426
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E 880 Issued in OH
Practice address
2600 Far Hills Ave
Dayton, OH 45419-1687
Phone
(937) 133-5343
Fax
(937) 233-5543
NPI assigned
Jan 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E 880 OH Primary

Addresses

Primary practice location

2600 Far Hills Ave
Dayton, OH 45419-1687

Mailing address

2600 Far Hills Ave
Dayton, OH 45419-1687
Phone (937) 133-5343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E 880OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245210426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191687",
            "telephone_number": "937-133-5343",
            "fax_number": "937-233-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191687",
            "telephone_number": "937-133-5343",
            "fax_number": "937-233-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURLAK",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.