Individual provider Active NPI

Krystal Frailey

  • Professional Counselor
  • Forest, VA
National Provider Identifier
1033975651
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014690 Issued in VA
Practice address
301 Gristmill Dr
Forest, VA 24551-2627
Phone
(434) 202-4080
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014690 VA Primary

Addresses

Primary practice location

301 Gristmill Dr
Forest, VA 24551-2627

Mailing address

216 E Cadbury Dr
Lynchburg, VA 24501-2308
Phone (814) 330-6058

Other practice location 1

7331 Timberlake Rd Ste 102
Lynchburg, VA 24502-2300
Phone (434) 515-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701014690VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wear Well Counseling, LLC Professional PastSince Feb 25, 2024 Accepting new patients
Active and Connected Counseling PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1033975651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E CADBURY DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012308",
            "telephone_number": "814-330-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GRISTMILL DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512627",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7331 Timberlake Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022300",
            "country_code": "US",
            "telephone_number": "434-515-2408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAILEY",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.