Counseling With Kayla, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC009193 Issued in GA

Legal business name

COUNSELING WITH KAYLA, LLC

Practice address

303 Aldred Ave
Statesboro, GA 30458-0043

Phone

(912) 225-3454

Fax

(912) 225-3454

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Shakayla Ware, MED, LPC, NCC

Title

Owner

Phone

(912) 225-3454

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Madison Olmedo, LCMHCA

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1861299133
  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1821522947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591844",
            "telephone_number": "912-225-3454",
            "fax_number": "912-225-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ALDRED AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580043",
            "telephone_number": "912-225-3454",
            "fax_number": "912-225-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING WITH KAYLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "SHAKAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-225-3454",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC009193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costrini & Meadows, PC
• Dennis James Coto Jr., FNP-BC
• Cotton Ridge Physical Therapy LLC (Accelerated Rehabilitation Centers)
• Jennifer Reddish Coulter, FNP-C
• Kirsten Baum Coulter, PNP
• Robert D Counts, CRNA
• Angela Coussons-Dyches, FNP
• Richard Tyler Cowart, MD
• Katherine Nicole Craine, LMT
• Thomas M Crews, MD

• Community/Behavioral Health Agency in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.