Individual provider Active NPI

Krista Hale, LPC

  • Professional Counselor
  • Leesburg, VA
National Provider Identifier
1154810026
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006809 Issued in VA
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

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229001255 DC Practitioner - Mental Health Counselor 6002265790 Reassigns benefits to 1 organization

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

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

LicenseStateTypeSpecialty
0701006809VAMDProfessional Counselor

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.