Active NPI
Kacie Pedon, LPCC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1386068757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-1000404
- Practice address
- 1301 N High St
Columbus, OH 43201-2460 - Phone
- (614) 227-6865
- Fax
- (614) 227-6873
- NPI assigned
- Feb 6, 2014
- 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 | E-1000404 | OH | Primary |
Addresses
Primary practice location
1301 N High St
Columbus, OH 43201-2460
Mailing address
527 E Beechwold Blvd
Columbus, OH 43214-1803
Phone (614) 404-2979
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 |
|---|---|---|---|
| E-1000404 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1386068757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 E BEECHWOLD BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141803",
"telephone_number": "614-404-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012460",
"telephone_number": "614-227-6865",
"fax_number": "614-227-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDON",
"first_name": "KACIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-1000404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Pediatric Ophthalmology Associates Inc.
- Pediatric Ophthalmology Associates, Inc.
- Pediatric Pathology Associates of Columbus Inc
- Pediatric Sleep and Neuro Center
- Charles Allen Pedigo, RRT
- Amanda M Pedrick, M.D.
- Jonathan Stewart Pedrick, M.D.
- Thomas J Pedrick, MD
- Nicole Lanette Pee
- Allison Peebles, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.