Individual provider Active NPI

Kelly Jo Cummings-Karkenny, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1114445376
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007230 Issued in VA
Practice address
3433 Brambleton Ave
Roanoke, VA 24018-6515
Phone
(540) 266-7550
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007230 VA
Professional Counselor 101YP2500X 0701007230 VA Primary

Addresses

Primary practice location

3433 Brambleton Ave
Roanoke, VA 24018-6515

Mailing address

738 Maryland Ave
Salem, VA 24153-5313

Other practice location 1

1933 Thomson Dr
Lynchburg, VA 24501-1008
Phone (434) 616-6762

Other practice location 2

6800 Paragon Pl Ste 237
Richmond, VA 23230-1651
Phone (804) 562-9997

Other practice location 3

4445 Corporation Ln Ste 245
Virginia Beach, VA 23462-3676
Phone (757) 233-0003

Other practice location 4

7960 Donegan Dr Ste 200
Manassas, VA 20109-8236
Phone (571) 208-0592

Other practice location 5

11835 Fishing Point Dr Ste 202
Newport News, VA 23606-2585
Phone (757) 243-1033

Other practice location 6

7730 Donegan Dr
Manassas, VA 20109-2868
Phone (571) 208-0592

Other practice location 7

130 Carriebrooke Dr
Stephens City, VA 22655-6000
Phone (540) 486-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231222002412 VA Practitioner - Mental Health Counselor 8022468677 Reassigns benefits to 1 organization
I20240305003055 DC Practitioner - Mental Health Counselor 8022468677

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Insight PCGroup PAC ID 3072921626, 9 clinicians

Practice addresses (Care Compare)

6800 Paragon PL
Suite 237
Richmond, VA 23230-1651
Phone (804) 562-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007230VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Insight Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Early Years ABA Therapy LLC Past Accepting new patients

Locations

1045 Main St
Ste 2
Danville, VA 24541
Phone (434) 799-3310

10640 Page Ave
Ste 220
Fairfax, VA 22030
Phone (703) 310-7665

1933 Thomson Dr
Lynchburg, VA 24501
Phone (434) 616-6762

7960 Donegan Dr
Ste 200
Manassas, VA 20109
Phone (571) 208-0592

11835 Fishing Point Dr
Ste 202
Newport News, VA 23606
Phone (757) 243-1033

6330 N Center Dr
Ste 200
Norfolk, VA 23502
Phone (757) 233-0003

6800 Paragon Pl
Ste 200
Richmond, VA 23230
Phone (757) 768-6914

6800 Paragon Pl
Ste 237
Richmond, VA 23230
Phone (804) 563-9997

3433 Brambleton Ave
Ste 201A
Roanoke, VA 24018
Phone (540) 266-7550

130 Carriebrooke Dr
Stephens City, VA 22655
Phone (540) 486-4653

4445 Corporation Ln
Ste 245
Virginia Beach, VA 23462
Phone (757) 233-0003

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1114445376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 MARYLAND AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186515",
            "telephone_number": "540-266-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1933 Thomson Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011008",
            "country_code": "US",
            "telephone_number": "434-616-6762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Paragon Pl Ste 237",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301651",
            "country_code": "US",
            "telephone_number": "804-562-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Corporation Ln Ste 245",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623676",
            "country_code": "US",
            "telephone_number": "757-233-0003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7960 Donegan Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201098236",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11835 Fishing Point Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062585",
            "country_code": "US",
            "telephone_number": "757-243-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7730 Donegan Dr",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092868",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Carriebrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Stephens City",
            "state": "VA",
            "postal_code": "226556000",
            "country_code": "US",
            "telephone_number": "540-486-4653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS-KARKENNY",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007230",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.