Krystal Mary Fowler, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701015161 Issued in VA

Practice address

4445 Corporation LN Ste 245
Virginia Beach, VA 23462-3676

Phone

(757) 233-0003

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1144061193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623676",
            "telephone_number": "757-233-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623676",
            "telephone_number": "757-233-0003"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "address_1": "3433 Brambleton Ave Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240186527",
            "country_code": "US",
            "telephone_number": "540-266-7550",
            "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": "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": "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": "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"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRYSTAL",
        "middle_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.