KATHY PAVLIK
NPI 1467966424
Counselor - Mental Health in Soquel, CA

Active since November 28, 2017Opted out of Medicare · through Oct 1, 2027
5905 SOQUEL DR STE 550, SOQUEL, CA 95073(831) 204-8169 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2018, Sep 7, 2018, Aug 28, 2018 and 1 more (4 updates tracked since 2017).

About Kathy Pavlik NPPES

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

KATHY PAVLIK (NPI 1467966424) is an individual mental health provider in Soquel, California, licensed in California (LMFT124924) and active in the NPI registry since November 2017. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1467966424
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHY PAVLIK
Location Address5905 SOQUEL DR STE 550Soquel, CA 95073-2861
Mailing Address5905 Soquel Dr Ste 550Soquel, CA 95073-2861 · (831) 204-8169
Sole ProprietorNo
Enumeration DateNovember 28, 2017
Last NPPES UpdateOctober 24, 20244 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
NPI 1467966424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · LMFT124924
5905 SOQUEL DR STE 550, Soquel, CA 95073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kathy Pavlik has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Case Manager/Care Coordinator
5905 SOQUEL DR STE 550
SOQUEL, CA 95073

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 Kathy Pavlik's NPI number?

The NPI number for Kathy Pavlik is 1467966424. It was assigned to this individual provider in the NPPES registry on November 28, 2017.

Where is Kathy Pavlik located?

Kathy Pavlik practices at 5905 Soquel Dr Ste 550, Soquel, CA 95073. The listed phone number is (831) 204-8169.

What is Kathy Pavlik's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathy Pavlik enrolled in Medicare?

No. Kathy Pavlik has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathy Pavlik was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.