JAQUELYN S KONDROT (NPI# 1730436601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730436601 |
| Entity Type | Individual |
| Full Name | JAQUELYN S KONDROT |
| Credential | LPC |
| Practice Address |
18201 Conneaut Lake Rd Meadville PA 16335 |
| Mailing Address |
509 Jefferson St Meadville PA 16335-4907 |
| Practice Telephone | 8143335060 |
| Mailing Telephone | 8143335060 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC001647 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | PC001647 | 01 |
| Street Address |
18201 CONNEAUT LAKE RD |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955291 | Brian J. Karlovits | Radiology | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2006-01-04 |
| 1356703193 | Philip Talarico | Psychiatry & Neurology | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2016-03-22 |
| 1225495997 | Hope M. Thomas | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2016-01-26 |
| 1972991917 | Alice Blumenstein | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2014-12-29 |
| 1235540188 | Kathryn Wisniewski | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2014-05-14 |
| 1336493477 | Kelly Kae Bidwell | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2012-10-27 |
| 1497008270 | Kelly Joanna Diley | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2012-10-18 |
| 1932483732 | Evan S. Tucker | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2011-09-29 |
| 1912214750 | Danelle Marie Carrillo Bennett | Counselor | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2010-08-31 |
| 1720235179 | Meredith Claburn | Physician Assistant | 18201 Conneaut Lake Rd, Meadville, PA 16335 | 2008-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343208 | Lisa Jean Newhard | Counselor | 312 Chestnut St Ste 311, Meadville, PA 16335-3206 | 2020-10-13 |
| 1992363105 | Andrea Sheckler Counseling, LLC | Counselor | 310 Chestnut St Ste 223, Meadville, PA 16335-3295 | 2019-06-03 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1245636059 | Christine Mcwilliams | Counselor | 312 Chestnut St Ste 113, Meadville, PA 16335-3206 | 2014-11-06 |
| 1982016473 | Anna J Mercatoris | Counselor | 841 N Cottage St, Meadville, PA 16335-2676 | 2014-06-02 |
| 1205277092 | Maryann Milne Mcconaughy | Counselor | 16963 Patricia Dr, Meadville, PA 16335-6333 | 2013-07-10 |
| 1780024638 | April More | Counselor | 16265 Conneaut Lake Road, Meadville, PA 16335-3887 | 2013-06-25 |
| 1437418431 | Alicia Marie Twilla | Counselor | 847 N Main St, Suite 202, Meadville, PA 16335-2668 | 2012-05-10 |
| 1134427750 | Jennifer Lloyd | Counselor | 1041 Park Ave, Meadville, PA 16335-4324 | 2011-03-06 |
| 1023323706 | Monique Y Bivins | Counselor | 15667 State Hwy 86, Meadville, PA 16335-5317 | 2010-08-18 |
| Find all providers in MEADVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.