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KAYLA SHADE LPC
NPI 1447938709
Counselor - Professional in Edinboro, PA

Active since July 07, 2023PECOS Enrolled
202 W PLUM ST, EDINBORO, PA 16412(814) 250-2500 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Sep 3, 2025, Jul 7, 2023 (3 updates tracked since 2023).

About Kayla Shade Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA SHADE LPC (NPI 1447938709) is an individual professional provider in Edinboro, Pennsylvania, licensed in Pennsylvania (PC015683) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1447938709
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAYLA SHADECredential: LPC
Location Address202 W PLUM STEdinboro, PA 16412-2121
Mailing Address202 W Plum StEdinboro, PA 16412-2121 · (814) 250-2500
Phone(814) 250-2500
Sole ProprietorYes
Enumeration DateJuly 7, 2023
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1447938709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC015683
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC015683 (PA)
202 W PLUM ST, Edinboro, PA 16412
Open in Google Maps ↗

Secondary Practice Location 1

Location 11330 W 26th StErie, PA 16508-1402 · Phone (814) 451-2248

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Shade Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kayla Shade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Safe Harbor Behavioral Health Of Upmc Hamot
16 mi
Mental Health (Including Community Mental Health Center)
1330 W 26TH ST
Erie, PA 16508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 clinicians in this Medicare group
NPI 1083695985 (814) 459-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIERSTEN LEMIEUR DC
Chiropractor
202 W PLUM ST
EDINBORO, PA 16412
Erie County (814) 737-7777
STEVEN J GRYGIER D.C.
Chiropractor
202 W PLUM ST
EDINBORO, PA 16412
Erie County (814) 734-7777
EDINBORO HEALTH & WELLNESS CENTER PC
Chiropractor
202 W PLUM ST
EDINBORO, PA 16412
Erie County (814) 734-7777
JOSHUA DAVID NIEDERMEYER MSW, LCSW
Social Worker (Clinical)
202 W PLUM ST
EDINBORO, PA 16412
Erie County (814) 250-2500
DR. JAMES JOSEPH BARANOWSKI D.C.
Chiropractor
202 W PLUM ST
EDINBORO, PA 16412
Erie County (814) 734-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Shade's NPI number?

The NPI number for Kayla Shade is 1447938709. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Kayla Shade located?

Kayla Shade practices at 202 W Plum St, Edinboro, PA 16412. The listed phone number is (814) 250-2500.

What is Kayla Shade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kayla Shade enrolled in Medicare?

Yes. Kayla Shade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kayla Shade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Shade reassigns Medicare benefits to Safe Harbor Behavioral Health Of Upmc Hamot (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Shade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kayla Shade was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.