Individual provider Active NPI

Kathron Nichols, QMHP

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1114719028
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0732006435 Issued in VA
Practice address
5301 Robin Hood Rd Ste 108
Norfolk, VA 23513-2419
Phone
(757) 792-5190
Fax
(757) 792-5231
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0732006435 VA Primary

Addresses

Primary practice location

5301 Robin Hood Rd Ste 108
Norfolk, VA 23513-2419

Mailing address

1109 Gladiola Cres
Virginia Beach, VA 23453-2305
Phone (757) 635-6573

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
0732006435VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Community Services Inc CurrentSince May 25, 2025 Accepting new patients

Locations

5301 Robin Hood Rd
Ste 108
Norfolk, VA 23513
Phone (757) 792-5190

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1114719028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 GLADIOLA CRES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532305",
            "telephone_number": "757-635-6573",
            "fax_number": "757-689-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ROBIN HOOD RD STE 108",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132419",
            "telephone_number": "757-792-5190",
            "fax_number": "757-792-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATHRON",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732006435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.