Active NPI
Carol Amelia Kavulic, PC
- Professional Counselor
- Berea, OH
National Provider Identifier
1336402015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.0900181
- Practice address
- 202 E Bagley Rd
Berea, OH 44017-2058 - Phone
- (440) 234-2006
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0900181 | OH | Primary |
Addresses
Primary practice location
202 E Bagley Rd
Berea, OH 44017-2058
Mailing address
1390 Kennedy Blvd
Apt. 205
Cuyahoga Falls, OH 44221-5359
Phone (216) 534-5446
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.0900181 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1336402015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 KENNEDY BLVD",
"address_2": "APT. 205",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442215359",
"telephone_number": "216-534-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440172058",
"telephone_number": "440-234-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVULIC",
"first_name": "CAROL",
"middle_name": "AMELIA",
"name_prefix": "Mrs.",
"credential": "PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0900181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.