NPIMap

Organization Active NPI

Kairos Counseling Services

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1154856656
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KAIROS COUNSELING SERVICES
Practice address
107 Olde Greenwich Dr
Fredericksburg, VA 22408-4022
Phone
(540) 370-6983
Fax
(540) 427-7912
NPI assigned
Apr 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Alex Ramirez
Title
Office Manager
Phone
(540) 370-6983

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

107 Olde Greenwich Dr
Fredericksburg, VA 22408-4022

Mailing address

107 Olde Greenwich Dr
Fredericksburg, VA 22408-4022
Phone (540) 370-6983

Other identifiers 1

IdentifierTypeStateIssuer
30015281490002MedicaidVA

Other names 1

  • Kairos Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413003524 VA Part B Supplier - Clinic/Group Practice 4880024900 Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

308 Wolfe St
Fredericksburg, VA 22401
Phone (540) 252-9448

107 Olde Greenwich Dr
Fredericksburg, VA 22408
Phone (540) 681-9682

308 Wolfe St
Fl 3
Fredericksburg, VA 22401
Phone (540) 370-6983

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1154856656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OLDE GREENWICH DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084022",
            "telephone_number": "540-370-6983",
            "fax_number": "540-427-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OLDE GREENWICH DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084022",
            "telephone_number": "540-370-6983",
            "fax_number": "540-427-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-370-6983"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015281490002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kairos Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.