Active NPI
Krista Hale, LPC
- Professional Counselor
- Leesburg, VA
National Provider Identifier
1154810026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701006809
- Practice address
- 163 Fort Evans Rd NE
Leesburg, VA 20176-4420 - Phone
- (703) 443-2000
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006809 | VA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Mailing address
701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792
Phone (540) 322-5424
Other practice location 1
701 Kenmore Ave
Suite 105
Fredericksburg, VA 22401
Phone (540) 322-5424 ext. 3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6076 Franconia Rd
Suite D
Alexandria, VA 22310-1768
Phone (703) 828-9054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006809 | VA | MD | Professional Counselor |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABDDAA
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": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1154810026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 KENMORE AVE STE 105",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015792",
"telephone_number": "540-322-5424",
"fax_number": "866-217-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 FORT EVANS RD NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764420",
"telephone_number": "703-443-2000"
}
],
"practiceLocations": [
{
"address_1": "701 Kenmore Ave",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "22401",
"country_code": "US",
"telephone_number": "540-322-5424 x3200",
"fax_number": "866-217-8718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALE",
"first_name": "KRISTA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006809",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.