Individual provider Active NPI

Kailynn Gahman

  • Professional Counselor
  • Saylorsburg, PA
National Provider Identifier
1508681834
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017919 Issued in PA
Practice address
1245 Kunkletown Rd
Saylorsburg, PA 18353-7775
Phone
(717) 693-1182
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 PC017919 PA Primary

Addresses

Primary practice location

1245 Kunkletown Rd
Saylorsburg, PA 18353-7775

Mailing address

1245 Kunkletown Rd
Saylorsburg, PA 18353-7775
Phone (717) 693-1182

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
I20250319001091 PA Practitioner - Mental Health Counselor 6901328954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 262-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017919PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nulton Diagnostic & Treatment Center, PC CurrentSince Feb 27, 2025 Accepting new patients
Nulton Diagnostic & Treatment Center, PC. CurrentSince Feb 27, 2025 Accepting new patients

Locations

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1508681834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 KUNKLETOWN RD",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183537775",
            "telephone_number": "717-693-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 KUNKLETOWN RD",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183537775",
            "telephone_number": "717-693-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHMAN",
        "first_name": "KAILYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saylorsburg, PA

Sources for this page

Verify at the official NPI Registry.