Individual provider Active NPI

Kira Mari Candelieri, PHD, LPC, NCC, CCMHC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1104561505
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008094 Issued in VA
Practice address
1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050
Phone
(757) 578-2985
Fax
(757) 578-5064
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 0701008094 VA Primary

Addresses

Primary practice location

1642 Pleasure House Rd Ste 102
Virginia Beach, VA 23455-4050

Mailing address

1803 Sechrist CT
Virginia Beach, VA 23454-3547
Phone (757) 434-5344

Other practice location 1

1803 Sechrist Ct
Virginia Beach, VA 23454-3547
Phone (757) 434-5344

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
I20250507003578 VA Practitioner - Mental Health Counselor 0042737595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701008094VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
912 Mental Health, PLLC CurrentSince May 1, 2022 Accepting new patients
Wholehearted Counseling Professional CurrentSince Mar 6, 2025 Accepting new patients

Locations

1642 Pleasure House Rd
Ste 102
Virginia Beach, VA 23455
Phone (757) 578-2985

4433 Corporation Ln
Ste 175
Virginia Beach, VA 23462
Phone (757) 578-2985

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1104561505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 SECHRIST CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543547",
            "telephone_number": "757-434-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 PLEASURE HOUSE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554050",
            "telephone_number": "757-578-2985",
            "fax_number": "757-578-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Sechrist Ct",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543547",
            "country_code": "US",
            "telephone_number": "757-434-5344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELIERI",
        "first_name": "KIRA MARI",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.