Active NPI
Kimberly Shanelle Hatchett, LPC
- Mental Health Counselor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701007731
- Practice address
- 1020 First Colonial Rd Ste a
Virginia Beach, VA 23454-3078 - Phone
- (757) 395-5342
- Fax
- (757) 222-5095
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701007731 | VA | Primary |
Addresses
Primary practice location
1020 First Colonial Rd Ste a
Virginia Beach, VA 23454-3078
Mailing address
1020 First Colonial Rd Ste a
Virginia Beach, VA 23454-3078
Phone (757) 395-5342
Other practice location 1
435 Main St
South Boston, VA 24592-3241
Phone (434) 575-0145
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240227002638 | VA | Practitioner - Mental Health Counselor | 3072958230 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007731 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Behavioral Health | Mental Health | Current | Accepting new patients |
Locations
523 Madison St
Boydton, VA 23917
Phone (434) 738-0154
424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Clarksville, VA
- NPI 1700890761
Mental Health, VA
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southside Behavioral Health
Practice addresses (Care Compare)
424 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-2936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1285129072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 FIRST COLONIAL RD STE A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543078",
"telephone_number": "757-395-5342",
"fax_number": "757-222-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 FIRST COLONIAL RD STE A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543078",
"telephone_number": "757-395-5342",
"fax_number": "757-222-5095"
}
],
"practiceLocations": [
{
"address_1": "435 Main St",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245923241",
"country_code": "US",
"telephone_number": "434-575-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATCHETT",
"first_name": "KIMBERLY",
"middle_name": "SHANELLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701007731",
"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 Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.