Individual provider Active NPI

Katlyn R Hash, LPC

  • Professional Counselor
  • Independence, VA
National Provider Identifier
1053060632
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015730 Issued in VA
Practice address
110 Blue Devil Dr
Independence, VA 24348
Phone
(888) 908-7541
NPI assigned
Mar 22, 2022
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 0701015730 VA Primary

Addresses

Primary practice location

110 Blue Devil Dr
Independence, VA 24348

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-1200

Other practice location 1

109 Carrol Dr
Fries, VA 24330-4532
Phone (888) 908-4788

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
I20260324000711 VA Practitioner - Mental Health Counselor 2365926888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 9
Laurel Fork, VA 24352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015730VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Area Community Health Past Accepting new patients
Tri Area Community Health PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1053060632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BLUE DEVIL DR",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "24348",
            "telephone_number": "888-908-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Carrol Dr",
            "address_purpose": "LOCATION",
            "city": "Fries",
            "state": "VA",
            "postal_code": "243304532",
            "country_code": "US",
            "telephone_number": "888-908-4788",
            "fax_number": "276-398-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASH",
        "first_name": "KATLYN",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, VA

Sources for this page

Verify at the official NPI Registry.