Individual provider Active NPI

Katlin Sisler

  • Professional Counselor
  • Mechanicsville, VA
National Provider Identifier
1285042804
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005860 Issued in VA
Practice address
7459 Old Hickory Dr Ste 204
Mechanicsville, VA 23111-3631
Phone
(804) 363-1731
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005860 VA Primary

Addresses

Primary practice location

7459 Old Hickory Dr Ste 204
Mechanicsville, VA 23111-3631

Mailing address

7459 Old Hickory Dr Ste 204
Mechanicsville, VA 23111-3631
Phone (804) 363-1731

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
I20240507000332 VA Practitioner - Mental Health Counselor 4789024845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7459 Old Hickory Dr
Suite 204
Mechanicsville, VA 23111-3631
Phone (804) 363-1731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Season Counseling and Consulting CurrentSince Jan 1, 2024 Accepting new patients
Fairlane Counseling Associates PastSince Apr 11, 2016 Accepting new patients

Locations

7459 Old Hickory Dr
Ste 204
Mechanicsville, VA 23111
Phone (804) 363-1731

Organizations & group practices 2

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1285042804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 OLD HICKORY DR STE 204",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113631",
            "telephone_number": "804-363-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 OLD HICKORY DR STE 204",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113631",
            "telephone_number": "804-363-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISLER",
        "first_name": "KATLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.