Individual provider Active NPI

Jaime Kadylak

  • Professional Counselor
  • Franklin, PA
National Provider Identifier
1962884775
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011129 Issued in PA
Practice address
300 Liberty St
Franklin, PA 16323-1053
Phone
(814) 437-5770
Fax
(814) 432-6688
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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 PC011129 PA Primary

Addresses

Primary practice location

300 Liberty St
Franklin, PA 16323-1053

Mailing address

300 Liberty St
Franklin, PA 16323-1053
Phone (814) 437-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC011129PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Professional Counseling Services, LLC Professional PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 1

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1962884775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LIBERTY ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163231053",
            "telephone_number": "814-437-5770",
            "fax_number": "814-432-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LIBERTY ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163231053",
            "telephone_number": "814-437-5770",
            "fax_number": "814-432-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADYLAK",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

Verify at the official NPI Registry.