Kathi K Anderson, L.P.C.
Individual provider Active NPI Professional Counselor · Richmond, VA
NPI 1053302174 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1053302174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701003594 (VA)
- Practice address
- 1000 Boulders Pkwy
Suite 202
Richmond, VA 23225 - Phone
- (804) 320-7881
- Fax
- (804) 560-3474
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Virginia Commonwealth University, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tucker Psychiatric Clinic Inc.
Practice addresses (Care Compare)
1000 Boulders Pkwy
Suite 202
North Chesterfield, VA 23225-5515
Phone (804) 320-7881
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240419000610 | VA | Practitioner - Mental Health Counselor | 2365435930 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucker Psychiatric Clinic Inc. | Professional | Current |
Accepting new patients |
Locations
1000 Boulders Pkwy
Ste 202
North Chesterfield, VA 23225
Phone (804) 320-7881
7149 Jahnke Rd
Richmond, VA 23225
Phone (804) 320-7881
Interoperability endpoints
- kathianderson@tpci.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003594 | VA | Yes |
Addresses
Primary practice location
1000 Boulders Pkwy
Suite 202
Richmond, VA 23225
Mailing address
1000 Boulders Pkwy
Suite 202
Richmond, VA 23225
Phone (804) 320-7881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060575 | Medicaid | VA |
Other providers in Richmond, VA
- Ellen Katheryne Anderson
- Eric Anderson
- James C Anderson
- Jennifer Leigh Anderson
- Jonathan Anderson
- Kathleen Marie Anderson
- Kegan Anderson
- Kimberly K Anderson
- Kirstin Elizabeth Anderson
- Kristin Whitney Anderson
All providers in Richmond, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.