Katlyn Madeline Kayal, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00625000 Issued in NJ

Practice address

22-08 Route 208 Ste 16
Fair Lawn, NJ 07410-2609

Phone

(201) 956-6363

NPI assigned

Feb 9, 2022

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

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 and National Provider Directory roles.

• Wellsprings Counseling Center, LLC

  • Clinical Social Worker
  • Fair Lawn, NJ
  • NPI 1285844050
  NPD

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1851045819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 DOGWOOD TRL",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171627",
            "telephone_number": "201-334-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-08 ROUTE 208 STE 16",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102609",
            "telephone_number": "201-956-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYAL",
        "first_name": "KATLYN",
        "middle_name": "MADELINE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00625000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Katsantonis, MS
• Yevgeny Katsnelson, PT, DPT
• Marc Katz, BCBA, LBA
• Bradley S Kaufman, M.D.
• Aleksander Kavesh
• Zakaria Kaykay, RPH
• Carol Keegan, DPT
• Edilia P Kelly, LAC
• Seta Kelly
• Elizabeth Kempey, LSW

• Mental Health Counselor in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.