Krystal Light Leddy, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008655 Issued in VA

Practice address

249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271

Phone

(757) 231-6343

NPI assigned

Oct 4, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Light Counseling & Psychotherapy, PLLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1598251092

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1003635376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 S TERRACE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672185046",
            "telephone_number": "316-744-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623271",
            "telephone_number": "757-231-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDDY",
        "first_name": "KRYSTAL",
        "middle_name": "LIGHT",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Lebow, O.D., F.A.A.O.
• Alison Leclaire
• Ivana Jeanne Leclerc, MS,LPCR
• Cheyenne Danae Ledbetter, RBT
• Jo-Ann Marie Ledbury, 05/19/2009
• Arlana Lee-Holt, LCSW, CSAC, CAMS II
• Arecy Lee
• Ashlee Boles Lee, PA-C
• Ashlee S Lee
• Brandon Lee, PA-C

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.