Individual provider Active NPI

Kayla Jadin, MS ED, LPC, NCC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1508480732
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8381-125 Issued in WI
Practice address
6502 Grand Teton PLZ Ste 204
Madison, WI 53719-1047
Phone
(608) 338-1786
Fax
(608) 831-4383
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4588-226 WI
Professional Counselor 101YP2500X 8381-125 WI Primary

Addresses

Primary practice location

6502 Grand Teton PLZ Ste 204
Madison, WI 53719-1047

Mailing address

6502 Grand Teton PLZ Ste 204
Madison, WI 53719-1047
Phone (608) 338-1786

Other names 1

  • Kayla Vandenbusch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kayla@peaceofmindtherapy.com Direct Peace of Mind Therapy

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4588-226WIMDMental Health Counselor
8381-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Therapy LLC Mental Health PastSince Mar 6, 2022 Accepting new patients
Healing Hearts Family Counseling Center, LLC PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1508480732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 GRAND TETON PLZ STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191047",
            "telephone_number": "608-338-1786",
            "fax_number": "608-831-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 GRAND TETON PLZ STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191047",
            "telephone_number": "608-338-1786",
            "fax_number": "608-831-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADIN",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "credential": "MS ED, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4588-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8381-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kayla@peaceofmindtherapy.com",
            "affiliation": "Y",
            "affiliationName": "Peace of Mind Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "6502 Grand Teton Plz Ste 204",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537191047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "VANDENBUSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.