Individual provider Active NPI

Kala Cunningham, MA, LPC

  • Professional Counselor
  • Ellwood City, PA
National Provider Identifier
1396379947
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006100 Issued in PA
Practice address
523 Deemer Ave
Ellwood City, PA 16117-2510
Phone
(724) 674-8751
NPI assigned
Feb 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006100 PA Primary

Addresses

Primary practice location

523 Deemer Ave
Ellwood City, PA 16117-2510

Mailing address

523 Deemer Ave
Ellwood City, PA 16117-2510
Phone (724) 674-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002318 PA Practitioner - Mental Health Counselor 4880132323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

11676 Perry Hwy
Suite 2100
Wexford, PA 15090-7203
Phone (724) 934-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Jun 25, 2024 Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

11676 Perry Hwy
Ste 2100
Wexford, PA 15090
Phone (724) 934-7722

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1396379947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 DEEMER AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172510",
            "telephone_number": "724-674-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 DEEMER AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172510",
            "telephone_number": "724-674-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KALA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

Verify at the official NPI Registry.