Individual provider Active NPI

Katherine Milan Virak, L.C.S.W.

  • Mental Health Counselor
  • Midlothian, VA
National Provider Identifier
1164596136
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
090400198 Issued in VA
Practice address
1133 Jefferson Green Cir
Midlothian, VA 23113-4300
Phone
(804) 717-1111
Fax
(804) 717-1185
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 090400198 VA Primary

Addresses

Primary practice location

1133 Jefferson Green Cir
Midlothian, VA 23113-4300

Mailing address

PO Box 555
Midlothian, VA 23113-0555
Phone (804) 717-1111

Other identifiers 3

IdentifierTypeStateIssuer
461626OtherVAANTHEM
1033338OtherVACIGNA
008952752MedicaidVA

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
I20110516000168 VA Practitioner - Clinical Social Worker 4981880622 Practice locations: Midlothian, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1133 Jefferson Green Cir
Midlothian, VA 23113-4300
Phone (804) 717-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090400198VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling, LLC PastSince Jul 10, 2018 Accepting new patients
Hope Counseling and Wellness PastSince Apr 1, 2003 Accepting new patients
Central Virginia Family Psychiatry PC Past Accepting new patients

Organizations & group practices 3

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1164596136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231130555",
            "telephone_number": "804-717-1111",
            "fax_number": "804-717-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 JEFFERSON GREEN CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134300",
            "telephone_number": "804-717-1111",
            "fax_number": "804-717-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRAK",
        "first_name": "KATHERINE",
        "middle_name": "MILAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "090400198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "461626",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1033338",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008952752",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.