Kathryn Jane Pedro, P.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E1000215 Issued in OH

Practice address

5858 N High St Ste C
Worthington, OH 43085-4183

Phone

(614) 842-2121

NPI assigned

Apr 14, 2014

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Pedro Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enliven Resources, LLC

  dba Enliven Resource

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1376820209
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1386063717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 N HIGH ST STE C",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854183",
            "telephone_number": "614-738-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 N HIGH ST STE C",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854183",
            "telephone_number": "614-842-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Harrison Ave",
            "address_2": "#304",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151346",
            "country_code": "US",
            "telephone_number": "614-940-4868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "credential": "P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1000215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PEDRO",
            "credential": "P.C.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynsey Pearson, M.S.ED
• Mychal Pearson
• Talena Pearson
• Pediatric Hair Solutions
• Andrew Robert Pedigo
• Nancy J. Pelphrey, RN, LPCC
• Wendy Pendleton, LPC
• Monay Penn
• Amanda Pentzer, LISW
• Cassady Dean Perdue

• Professional Counselor in Worthington, OH
• Providers in Worthington, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.