Individual provider Active NPI

Kali Ever Dorland

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1053883132
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007689 Issued in VA
Practice address
4453 Shore Dr
Virginia Beach, VA 23455-2821
Phone
(571) 275-4617
NPI assigned
Dec 29, 2018
Last updated
Dec 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007689 VA Primary

Addresses

Primary practice location

4453 Shore Dr
Virginia Beach, VA 23455-2821

Mailing address

4853 Haymarket Dr
Virginia Beach, VA 23462-6435
Phone (571) 275-4617

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
0701007689VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Light Counseling & Psychology, PLLC PastSince Apr 9, 2023 Accepting new patients
Coastal Light Counseling & Psychotherapy, PLLC PastSince Apr 9, 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, 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": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1053883132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 HAYMARKET DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626435",
            "telephone_number": "571-275-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552821",
            "telephone_number": "571-275-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLAND",
        "first_name": "KALI",
        "middle_name": "EVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.