Active NPI
Kristin Doan, MA
- Mental Health Counselor
- Lynchburg, VA
National Provider Identifier
1124569850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 20276 Timberlake Rd
Suite a
Lynchburg, VA 24502 - Phone
- (434) 319-5528
- Fax
- (703) 777-0170
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
20276 Timberlake Rd
Suite a
Lynchburg, VA 24502
Mailing address
10435 Midtown Pkwy
Unit 165
Jacksonville, FL 32246
Phone (703) 771-5100
Other names 1
- Kristin Hauswirth
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1124569850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10435 MIDTOWN PKWY",
"address_2": "UNIT 165",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32246",
"telephone_number": "703-771-5100",
"fax_number": "703-777-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20276 TIMBERLAKE RD",
"address_2": "SUITE A",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24502",
"telephone_number": "434-319-5528",
"fax_number": "703-777-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "KRISTIN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "HAUSWIRTH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.