Kayla Rae Gongloff, LPC in Altoona, PA - Medicare Counselor Provider

Kayla Rae Gongloff, LPC is a medicare enrolled "Counselor - Professional" provider in Altoona, Pennsylvania. Her current practice location is 1310 Valley View Blvd, Altoona, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 944-9970.

Kayla Rae Gongloff is licensed to practice in Pennsylvania (license number PC015899) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942989215.

Contact Information

	Kayla Rae Gongloff, LPC
	1310 Valley View Blvd, Altoona, PA 16602-6080
	(814) 944-9970
	(814) 201-2960

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Rae Gongloff
Gender	Female
Speciality	Counselor - Professional
Location	1310 Valley View Blvd, Altoona, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942989215
Provider Enumeration Date: 07/14/2023
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2668816752
Enrollment ID: I20240216001391

Medical Identifiers

Medical identifiers for Kayla Rae Gongloff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942989215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC015899 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Rae Gongloff allows following entities to bill medicare on her behalf.

Entity Name	Blair Family Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720133218 PECOS PAC ID: 7113111261 Enrollment ID: O20101102001119

Entity Name	Pathways Human Services Of Pennsylvania, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043822208 PECOS PAC ID: 0941610091 Enrollment ID: O20201102000972

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Rae Gongloff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kayla Rae Gongloff, LPC 1310 Valley View Blvd, Altoona, PA 16602-6080 Ph: (814) 944-9970	Kayla Rae Gongloff, LPC 1310 Valley View Blvd, Altoona, PA 16602-6080 Ph: (814) 944-9970

Reviews and Comments

Counselor in Altoona, PA

Mrs. Susan H Adams, BS CCDP BPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-943-0414
Heather Ann Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-940-7473
Dr. James Robert Brady, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Lakemont Blvd., Altoona, PA 16602 Phone: 814-942-9999 Fax: 814-942-9999
Kelli Nichole Corl, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9725
Mrs. Brenda Eileen Simmons, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9425
Amanda Lynn Henry, MS, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 12th St, Altoona, PA 16602 Phone: 814-944-9970 Fax: 814-201-2960
Weston Hatch, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 12th St, Altoona, PA 16602 Phone: 814-944-9970 Fax: 814-201-2960

Kayla Rae Gongloff, LPC - Medicare Counselor in Altoona, PA