Individual provider Active NPI

Gypsy Rae Nicole Kim

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1275439317
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0733006945 Issued in VA
Practice address
316 Woods Edge CT
Virginia Beach, VA 23462-4358
Phone
(757) 708-1536
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 0733006945 VA Primary

Addresses

Primary practice location

316 Woods Edge CT
Virginia Beach, VA 23462-4358

Mailing address

316 Woods Edge CT
Virginia Beach, VA 23462-4358
Phone (757) 708-1536

Other practice location 1

260 Pippin St NW
Abingdon, VA 24210-2616
Phone (276) 329-2115

Other practice location 2

211 N Union St Ste 100
Alexandria, VA 22314-2643
Phone (443) 543-8367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1275439317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WOODS EDGE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624358",
            "telephone_number": "757-708-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WOODS EDGE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624358",
            "telephone_number": "757-708-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Pippin St NW",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102616",
            "country_code": "US",
            "telephone_number": "276-329-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Union St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142643",
            "country_code": "US",
            "telephone_number": "443-543-8367",
            "fax_number": "410-914-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "GYPSY",
        "middle_name": "RAE NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0733006945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.