Katelyn Mason, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1500315 Issued in OH

Practice address

141 Broad Blvd Ste 204
Cuyahoga Falls, OH 44221-3817

Phone

(330) 703-6578

NPI assigned

Mar 12, 2018

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

Other names 1

• Katelyn Boldt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elyse Etapa LLC

  • Mental Health Counselor
  • Canton, OH
  • NPI 1720517956
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1902309461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 WHIPPLE AVE NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BROAD BLVD STE 204",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213817",
            "telephone_number": "330-703-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KATELYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "BOLDT",
            "credential": "PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark A Maroni, CRNA
• Mercedes Chante' Marshall
• Monica Marshall, LMT
• Samantha Kay Martin, LPCC-S
• Stacey A Martin, D.P.M.
• Monica Kaye Mason, M.A., CCC-A
• Patricia Mitchell Mason, CDCA
• Candace Massengill Thomas
• Massood R Babai MD Inc
• Vickie Marie Masturzo, CLPN

• Mental Health Counselor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, 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 Mar 12, 2018; 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.