Individual provider Active NPI

Kristin Irene Nygaard-Daugherty, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1114622198
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014556 Issued in VA
Practice address
2121 Eisenhower Ave Ste 501
Alexandria, VA 22314-4688
Phone
(540) 845-6940
Fax
(484) 842-6053
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 0701014556 VA Primary

Addresses

Primary practice location

2121 Eisenhower Ave Ste 501
Alexandria, VA 22314-4688

Mailing address

2121 Eisenhower Ave Ste 501
Alexandria, VA 22314-4688
Phone (540) 845-6940

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
I20250627000949 VA Practitioner - Mental Health Counselor 8820501414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Therapy PLLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

2121 Eisenhower Ave
Ste 501
Alexandria, VA 22314
Phone (540) 845-6950

2201 Charles St
Ste 105
Fredericksburg, VA 22401
Phone (540) 854-6940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1114622198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "540-845-6940",
            "fax_number": "484-842-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "540-845-6940",
            "fax_number": "484-842-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGAARD-DAUGHERTY",
        "first_name": "KRISTIN",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.