Kayla Shade, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015683 Issued in PA

Practice address

202 W Plum St
Edinboro, PA 16412-2121

Phone

(814) 250-2500

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Harbor Behavioral Health of Upmc HamotGroup PAC ID 6305743154, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Safe Harbor Behavioral Health of Upmc Hamot

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1083695985

  Professional

  Medicare reassignment Care Compare group NPD
• Safe Harbor Behavioral Health of Upmc Hamot

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1518168368
  NPD
• Pathways Nwpa LLC

  • Clinical Social Worker
  • Edinboro, PA
  • NPI 1124647227
  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1447938709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W PLUM ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122121",
            "telephone_number": "814-250-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PLUM ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122121",
            "telephone_number": "814-250-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165081402",
            "country_code": "US",
            "telephone_number": "814-451-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADE",
        "first_name": "KAYLA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015683",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Sayenga, R.N., CFY/SLP
• Margaret Ann Scepura-Michel, LPC
• Lisa J Schening, PH.D.
• James R Schmitt, DMD
• Norah Jane Scholl
• Roy Shinn Jr., PH.D., CCC-A
• Anthony Simmons, ABOC
• Sirona Therapy P.C.
• Jena M Skelton, MA, LPC
• Gail Irene Smith

• Professional Counselor in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.