Kaila Rae Letourneau, LPC
Individual provider Active NPI Mental Health Counselor · Immaculata, PA
NPI 1962372334 · NPPES record last updated Nov 10, 2025
Key facts
- NPI
- 1962372334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC018198 (PA)
- Practice address
- 1145 King Rd
Immaculata, PA 19345-9903 - Phone
- (484) 323-3339
- NPI assigned
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508000036 | PA | Practitioner - Mental Health Counselor | 8820566847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC018198 | PA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC018198 | PA | Yes |
Addresses
Primary practice location
1145 King Rd
Immaculata, PA 19345-9903
Mailing address
1145 King Rd
Immaculata, PA 19345-9903
Other providers in Immaculata, PA
- Luis Angel Flores
- Sharon Marie Jones
- Donna Marie Kelley
- Randie Kuhar
- Alexandra E Landen
- Sara Miraglia
- Kelly Alison Stalker
- Andrew Waer
All providers in Immaculata, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.