Kourtney N Kubicina, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2204473 Issued in OH

Practice address

318 Mahoning Ave NW
Warren, OH 44483-4605

Phone

(330) 395-9563

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1710409727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 TRUMBULL AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836335",
            "telephone_number": "402-332-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834605",
            "telephone_number": "330-395-9563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 W State St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161011240",
            "country_code": "US",
            "telephone_number": "724-658-4688",
            "fax_number": "724-658-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBICINA",
        "first_name": "KOURTNEY",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indira Krishnarao, M.D.
• Elaine Kroehle
• KSMS Clearview Lantern, LLC
• Dustin Kubacka, CDCA
• Kaicee Kubicina, LPCC
• Debrah Anne Kulusich, MSED,LPC
• David H. Kupferberg, MD
• Cole Kurtz, CDCA
• Gina Theresa Kuwik, M.D.
• Zachary Kwasnicka, D.O.

• Professional Counselor in Warren, OH
• Providers in Warren, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.