MEDICARE: PADGE COUNSELING & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447112362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PADGE COUNSELING & WELLNESS LLC

Provider Business Mailing Address
First Line	:	1624 FRANKLIN ST
Second Line	:
City	:	JOHNSTOWN
State	:	PA
Zip	:	15905-3815
Country	:	US
Telephone Number	:	814-262-8391
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 FRANKLIN ST
Second Line	:
City	:	JOHNSTOWN
State	:	PA
Zip	:	15905-3815
Country	:	US
Telephone Number	:	814-243-0407
Fax Number	:

Authorized Official
Title or Position	:	OWNER/HEAD THERAPIST
Name	:	JAY PADGE
Credential	:	LPC
Telephone Number	:	814-243-0407

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	04/10/2026

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