Kaleidoscope Counseling & Case Management, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KALEIDOSCOPE COUNSELING & CASE MANAGEMENT, LLC

Practice address

1712 Airline Blvd
Portsmouth, VA 23707-3911

Phone

(757) 535-9153

Fax

(757) 966-9255

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Francesca Maria Dillard-Moore, M.A.ED,CSAC,BC-HSP,Q

Title

Chief Executive Officer/Owner

Phone

(757) 535-9153

Specialties & licenses 1

Addresses

Tax ID family

Kaleidoscope Counseling Case Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kaleidoscope Counseling & Case Management LLC

  • Preferred Provider Organization
  • Portsmouth, VA
  • NPI 1285013599
  NPD tax ID

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1235511809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 574",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237050574",
            "telephone_number": "757-535-9153",
            "fax_number": "757-393-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 AIRLINE BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073911",
            "telephone_number": "757-535-9153",
            "fax_number": "757-966-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE COUNSELING & CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "DILLARD-MOORE",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/OWNER",
        "authorized_official_telephone_number": "757-535-9153",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.ED,CSAC,BC-HSP,Q"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Kachur, M.D.
• Karen Diane Kahan, NP
• Jeffrey Graham Kail, LCSW
• Dawid Krzysztof Kala, MD
• Kaleidoscope Counseling & Case Management LLC
• Jonathan Knight Kallevang, DO
• Lauren Beth Kalodner, MD
• Amol Kamat
• Siung Woo Kang, PHARMD
• Thomas Michael Kaptur, IDC

• Community/Behavioral Health Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.