Caitlin Alexandra Harding, LPC
Individual provider Active NPI Professional Counselor · Smithfield, VA
NPI 1225699432 · NPPES record last updated Nov 27, 2019
Key facts
- NPI
- 1225699432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1801 S Church St
Smithfield, VA 23430-1858 - Phone
- (757) 357-7458
- Fax
- (757) 356-1808
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7025 Harbour View Blvd
Suite 119
Suffolk, VA 23435-2761
7025 Harbour View Blvd
Suite 119
Suffolk, VA 23435-2762
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260306002009 | VA | Practitioner - Mental Health Counselor | 5294217345 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Tidewater Community Mental | Current |
Accepting new patients |
Locations
1801 S Church St
Smithfield, VA 23430
Phone (757) 357-7458
1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
1801 S Church St
Smithfield, VA 23430-1858
Mailing address
1000 Commercial LN
Suffolk, VA 23434-8148
Phone (757) 262-7091
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689615296 | Medicaid | VA |
Other names
- Miss Caitlin Alexandra Harding
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.crediblebh.com | Health Information Exchange (HIE) |
Other providers in Smithfield, VA
- Katrina Jean Griffin
- Aaron John Gringer
- Diane R Guendel
- Arlynn Guertin
- Mechelle Renee Gurley
- Harmony Health Services
- Harris Chiropractic Clinic of Smithfield
- Andy Trent Harris
- Kenya Harris
- Wanda Lacher Harris
All providers in Smithfield, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.