Individual provider Active NPI

Kayla M Beary, LPCC-S

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1871039941
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901049-SUPV Issued in OH
Practice address
725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512-4370
Phone
(330) 330-8655
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1901049-SUPV OH Primary

Addresses

Primary practice location

725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512-4370

Mailing address

725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512-4370
Phone (330) 330-8655

Other names 1

  • Kayla M Butcheck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212000332 OH Practitioner - Mental Health Counselor 8921457367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rajendra P Koirala, M.D., LLCGroup PAC ID 8820334931, 23 clinicians

Practice addresses (Care Compare)

16 Evans Ave
Austintown, OH 44515-1621
Phone (330) 330-8655

725 Boardman Canfield Rd
Suite L1
Boardman, OH 44512-4370
Phone (330) 330-8655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901049-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rajendra P Koirala, M.D., LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

725 Boardman Canfield Rd
Ste L1
Youngstown, OH 44512
Phone (330) 330-8655

725 Boardman Canfield Rd
Ste M
Youngstown, OH 44512
Phone (330) 330-8655

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1871039941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124370",
            "telephone_number": "330-330-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124370",
            "telephone_number": "330-330-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARY",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901049-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BUTCHECK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.