Barry Lee Krevokuch, MS, CAADC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015130 Issued in PA

Practice address

139 Beacon Light Rd
West Newton, PA 15089-3116

Phone

(412) 965-4007

NPI assigned

Dec 12, 2022

Last updated

May 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA, Professional

  Medicare reassignment NPD
• Shadowhaus Counseling & Holistic Wellness LLC

  • Professional Counselor
  • West Newton, PA
  • NPI 1295527455
  NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1609587575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BEACON LIGHT RD",
            "city": "WEST NEWTON",
            "state": "PA",
            "postal_code": "150893116",
            "telephone_number": "412-965-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BEACON LIGHT RD",
            "city": "WEST NEWTON",
            "state": "PA",
            "postal_code": "150893116",
            "telephone_number": "412-965-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREVOKUCH",
        "first_name": "BARRY",
        "middle_name": "LEE",
        "credential": "MS, CAADC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "PC015130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jo Kostik Johnson, DPT, ATC
• Stephanie Anne Jurcevich, BSN, RN
• Christine Marie Kalinik, LCSW
• George Karan Jr.
• Keystone Rehabilitation Systems, Inc.
• Thomas N Ljungman, MD
• Dean S Madar, RPH
• Frank P McGrogan, MD
• Charlene R Miller
• Noble Onion LLC

• Professional Counselor in West Newton, PA
• Providers in West Newton, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.