Individual provider Active NPI

Katherine Gentry Hansen, LPC

  • Professional Counselor
  • Blacksburg, VA
National Provider Identifier
1063301976
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015051 Issued in VA
Practice address
3790 Mount Tabor Rd
Blacksburg, VA 24060-0422
Phone
(540) 808-7485
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 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 0701015051 VA Primary

Addresses

Primary practice location

3790 Mount Tabor Rd
Blacksburg, VA 24060-0422

Mailing address

3790 Mount Tabor Rd
Blacksburg, VA 24060-0422
Phone (540) 808-7485

Other practice location 1

2244 Executive Dr
Hampton, VA 23666-2430
Phone (757) 827-1001

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
I20250819004516 VA Practitioner - Mental Health Counselor 3072012608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015051VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc Current Accepting new patients
Riverside Hospital Inc. CurrentSince Jul 31, 2024 Accepting new patients
Riverside Hospital Inc CurrentSince Jul 31, 2024 Accepting new patients

Locations

2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1063301976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 MOUNT TABOR RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240600422",
            "telephone_number": "540-808-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 MOUNT TABOR RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240600422",
            "telephone_number": "540-808-7485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2244 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662430",
            "country_code": "US",
            "telephone_number": "757-827-1001",
            "fax_number": "757-827-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KATHERINE",
        "middle_name": "GENTRY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.