Individual provider Active NPI

Victoria Grace Hargenrader McLaughlin, PHD, LPC, LSATP, ACS

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1124570577
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006808 Issued in VA
Practice address
501 Prince George St Ste 209
Williamsburg, VA 23185-3664
Phone
(757) 274-9354
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000432 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102973 VA
Professional Counselor 101YP2500X 0701006808 VA Primary

Addresses

Primary practice location

501 Prince George St Ste 209
Williamsburg, VA 23185-3664

Mailing address

501 Prince George St Ste 209
Williamsburg, VA 23185-3664
Phone (757) 274-9354

Other names 1

  • Victoria Grace Hargenrader Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address counseling@drvictoriamclaughlin.com Direct

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
I20240426003112 VA Practitioner - Mental Health Counselor 5193195535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3204 Ironbound Rd
Suite D
Williamsburg, VA 23188-2410
Phone (757) 274-9354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0710102973VAMDAddiction (Substance Use Disorder) Counselor
0718000432VAMDAddiction (Substance Use Disorder) Counselor
0701006808VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Vines Counseling LLC Addiction (Substance Use Disorder) CurrentSince Mar 13, 2024 Accepting new patients

Locations

501 Prince George St
Ste 209
Williamsburg, VA 23185
Phone (757) 274-9354

3204 Ironbound Rd
Ste D
Williamsburg, VA 23188
Phone (757) 274-9354

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": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1124570577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PRINCE GEORGE ST STE 209",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853664",
            "telephone_number": "757-274-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PRINCE GEORGE ST STE 209",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853664",
            "telephone_number": "757-274-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "VICTORIA",
        "middle_name": "GRACE HARGENRADER",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LSATP, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000432",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102973",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counseling@drvictoriamclaughlin.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Prince George St Ste 209",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231853664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HARGENRADER",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.