Active NPI
Kayla Jadin, MS ED, LPC, NCC
- Professional Counselor
- Madison, WI
National Provider Identifier
1508480732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8381-125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4588-226 | WI | MD | Mental Health Counselor |
| 8381-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Therapy LLC | Mental Health | Past | Accepting new patients |
| Healing Hearts Family Counseling Center, LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sun Prairie, WI
- NPI 1972824571
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.