Kayla Jane Gerdes | Springfield, IL • PECOS Search

Kayla Jane Gerdes

Counselor

Behavioral Health & Social Service Providers

426 W Cook St, Springfield, IL 62704-2534

PECOS Enrollment

Based on the most recent information from CMS, provider Kayla Jane Gerdes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1013422369
Provider Type
Individual
Full Name
Gerdes, Kayla Jane
Credential
MA, LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/8/2017
Last Updated
12/8/2017

Contact Information

Practice Location

426 W Cook St, Springfield, IL 62704-2534

Unlisted Fax

Mailing Location

426 W Cook St, Springfield, IL 62704-2534

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 178011437 Illinois