Kaitlin Florence Ingebretsen, MA, LPC, BC-DMT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011406 Issued in VA

Practice address

8003 Franklin Farms Dr
Richmond, VA 23229-5107

Phone

(804) 716-0428

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Counseling Richmond PLLCGroup PAC ID 1355886821, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Riverside Counseling Richmond PLLC

  • Clinical Social Worker
  • Henrico, VA
  • NPI 1407492895

  Professional, VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1013651850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 FRANKLIN FARMS DR RM 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295107",
            "telephone_number": "804-716-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 FRANKLIN FARMS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295107",
            "telephone_number": "804-716-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGEBRETSEN",
        "first_name": "KAITLIN",
        "middle_name": "FLORENCE",
        "credential": "MA, LPC, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Influential Family Service, Inc.
• Infonix Solutions
• Infusion Solutions LLC
• Infusion Therapy of Virginia LLC
• Arlene Ingal, PT
• Kelly Ingham
• Vjaughn Ingraham
• Genequa Ingram
• Michael Joseph Ingram, LPC
• Myca J Ingram, PT

• All providers in Richmond, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.