Pablo A Kusak, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC20980 Issued in AZ

Practice address

3573 S 158TH PL BLDG B
Gilbert, AZ 85297-2046

Phone

(480) 271-4961

NPI assigned

Feb 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Straight Ahead Counsling, PLLC

  • Counselor
  • Gilbert, AZ
  • NPI 1063079820
  NPD Authorized official

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1326547282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 S 158TH PL BLDG B",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972046",
            "telephone_number": "480-271-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 S 158TH PL BLDG B",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972046",
            "telephone_number": "480-271-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSAK",
        "first_name": "PABLO",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kuria
• Joy Kuria
• Margaret Kuria
• Pauline Kuria
• Darcy Kusak, M.A.
• Margarita Kushnir, MD
• Mark John Kusmierczyk, R.PH.
• Elizabeth Josephine Kwan, MT-BC
• Kwhitlatch LLC
• Jordyn Kwitschau, BCBA, LBA

• Professional Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.