Kayla Rae Gongloff, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015899 Issued in PA

Practice address

1310 Valley View Blvd
Altoona, PA 16602-6080

Phone

(814) 944-9970

Fax

(814) 201-2960

NPI assigned

Jul 14, 2023

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

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blair Family Solutions, LLCGroup PAC ID 7113111261, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Blair Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1720133218
  Medicare reassignment Care Compare group NPD
• Family Behavioral Resources, Inc.

  • Public Health or Welfare Agency
  • Greensburg, PA
  • NPI 1508933599
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1942989215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026080",
            "telephone_number": "814-944-9970",
            "fax_number": "814-201-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026080",
            "telephone_number": "814-944-9970",
            "fax_number": "814-201-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGLOFF",
        "first_name": "KAYLA",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher David Godissart, DO
• Sarah Gold
• Lisa A Golden, MD
• Tammy Lee Goldian
• Morgan Sage Goldizen, FNP-BC
• Rebecca Gongloff, PA-C
• Josiah Gonzalez
• Roberto Gonzalez, M.D.
• William Lee Good, DDS
• Anjelique Gorba, MS, NCC

• Professional Counselor in Altoona, PA
• Providers in Altoona, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.