Jaquelyn S Kondrot, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC001647 Issued in PA

Practice address

18201 Conneaut Lake Rd
Meadville, PA 16335

Phone

(814) 333-5060

NPI assigned

Aug 10, 2012

Sex

Female

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

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1730436601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 JEFFERSON ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354907",
            "telephone_number": "814-333-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDROT",
        "first_name": "JAQUELYN",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PC001647",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Klink, CRNP
• Julie S. Knapka, CRNP
• Christopher G Knapp, DC
• Pavithra Samanmalee Kodagoda, MBBS
• Hannah Komedja, APRN
• Chandrasekhar Kota, M.D.
• Kelli J. Kraeling, CRNP-C
• Kevin R Kraeling, D.O.
• Cassandra May Kreider, CRNP
• Nora Lynn Kreider, LMFT

• Professional Counselor in Meadville, PA
• Providers in Meadville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.