Kord Hall Basnight, RESIDENT IN COUNSELI

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704015863 Issued in VA

Practice address

9525 Oak Stream CT
Fairfax Station, VA 22039-2650

Phone

(703) 861-6639

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1255011102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 OAK STREAM CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392650",
            "telephone_number": "703-861-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 OAK STREAM CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392650",
            "telephone_number": "703-861-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASNIGHT",
        "first_name": "KORD",
        "middle_name": "HALL",
        "credential": "RESIDENT IN COUNSELI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704015863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.