Mary Catherine Kijauskas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

521 Fifth Ave Ste a
Chardon, OH 44024-1088

Phone

(440) 286-1553

NPI assigned

May 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/familyprideonline/r4/

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.

• Family Pride of Northeast Ohio Incorporated

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1427013556

  Single Specialty

  NPD

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1750957064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 FIFTH AVE STE A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 FIFTH AVE STE A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241088",
            "telephone_number": "440-286-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJAUSKAS",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Kenenske
• Lisa Marie Kennedy, COTA/L
• Kary Jay Kepes
• Melissa A Kerr
• Patrick John Kidner Jr.
• Ann Elizabeth Killea
• Constantine Kim, DO
• Jasmine Nikeya Kinder
• Gregory Mark King, R.PH.
• Kinsman Care Inc

• Mental Health Counselor in Chardon, OH
• Providers in Chardon, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.