Individual provider Active NPI

Kiah Mutter

  • Counselor
  • Chesapeake, VA
National Provider Identifier
1083446389
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701007431 Issued in VA
Practice address
524 Albemarle Dr Ste 101
Chesapeake, VA 23322-5500
Phone
(757) 630-2809
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701007431 VA Primary

Addresses

Primary practice location

524 Albemarle Dr Ste 101
Chesapeake, VA 23322-5500

Mailing address

1029 West Rd
Chesapeake, VA 23323-6621
Phone (208) 948-9535

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
0701007431VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion & Healing Counseling, LLC Counselor CurrentSince Aug 18, 2024 Accepting new patients

Locations

524 Albemarle Dr
Ste 101
Chesapeake, VA 23322
Phone (757) 630-2809

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, 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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1083446389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 WEST RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236621",
            "telephone_number": "208-948-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 ALBEMARLE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225500",
            "telephone_number": "757-630-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTER",
        "first_name": "KIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701007431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.