Individual provider Active NPI

Katherine Louise Haskins, LPC, NCC

  • Professional Counselor
  • Glen Allen, VA
National Provider Identifier
1033983077
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012819 Issued in VA
Practice address
4212 Park Place CT
Glen Allen, VA 23060-3314
Phone
(804) 315-3135
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701012819 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0701012819 VA
Mental Health Counselor 101YM0800X 0701012819 VA
Professional Counselor 101YP2500X 0701012819 VA Primary

Addresses

Primary practice location

4212 Park Place CT
Glen Allen, VA 23060-3314

Mailing address

337 Wadsworth Dr
North Chesterfield, VA 23236-4523
Phone (804) 837-1486

Other practice location 1

337 Wadsworth Dr
North Chesterfield, VA 23236-4523
Phone (804) 837-1486

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240305001317 VA Practitioner - Mental Health Counselor 2062857683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012819VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Center for Addiction Medicine CurrentSince Jan 21, 2024 Accepting new patients

Locations

4212 Park Place Ct
Glen Allen, VA 23060
Phone (804) 332-5950

2505 Pocoshock Pl
Ste 101
North Chesterfield, VA 23235
Phone (804) 332-5950

Organizations & group practices 1

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": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1033983077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364523",
            "telephone_number": "804-837-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 PARK PLACE CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603314",
            "telephone_number": "804-315-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Wadsworth Dr",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232364523",
            "country_code": "US",
            "telephone_number": "804-837-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701012819",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0701012819",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012819",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.