MS. KELLIE JO GAVRAN (NPI# 1053958900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053958900 |
| Entity Type | Individual |
| Full Name | MS. KELLIE JO GAVRAN |
| Credential | LPC |
| Practice Address |
150 Pittsburgh St Uniontown PA 15401-2354 |
| Mailing Address |
50 Edmund Ave Uniontown PA 15401-4630 |
| Practice Telephone | 7249703252 |
| Mailing Telephone | 7249703252 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC000510 | PA | Behavioral Health & Social Service Providers |
| Street Address |
150 PITTSBURGH ST |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003083635 | Matthew John Distefano | Counselor | 150 Pittsburgh St, Uniontown, PA 15401-2354 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1760985071 | Deeds Counseling, LLC. | Counselor | 140 N Beeson Ave Ste 401, Uniontown, PA 15401-2937 | 2018-03-13 |
| 1245773365 | Alyssa Iannamorelli-eddy | Counselor | 315 Morgantown St Ste 7000, Uniontown, PA 15401-4878 | 2016-11-21 |
| 1669874285 | Katherine Vozar | Counselor | 159 Walter St, Uniontown, PA 15401-2333 | 2014-09-26 |
| 1053728154 | Melissa Sasso | Counselor | 25 Highland Park Dr Ste 200, Uniontown, PA 15401-8402 | 2014-07-21 |
| 1427399914 | Amanda Lynn Huey | Counselor | 25 Highland Park Drive, # 200, Uniontown, PA 15401 | 2013-03-07 |
| 1548534571 | Thomas Havrilak | Counselor | 6 Oliver Plaza, Uniontown, PA 15401-5893 | 2012-03-08 |
| 1013293638 | Rachel Wilson | Counselor | 2 W Main St Ste 130a, Uniontown, PA 15401-3408 | 2011-10-27 |
| 1437441870 | Ryan M Cook | Counselor | 1790 Town Park Blvd Ste C, Uniontown, OH 44685-7972 | 2011-05-04 |
| 1033435805 | Tiffany Guyton | Counselor | 46 E Main St., Suite E, Uniontown, PA 15401 | 2010-04-19 |
| Find all providers in UNIONTOWN | ||||
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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.