Individual provider Active NPI

Kathryn Gearheart Pearsall, MS, LPC, RPT-S

  • Professional Counselor
  • Montpelier, VA
National Provider Identifier
1306122064
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003463 Issued in VA
Practice address
14004 Proffitt Farm Rd
Montpelier, VA 23192-2525
Phone
(804) 305-5252
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 0701003463 VA Primary

Addresses

Primary practice location

14004 Proffitt Farm Rd
Montpelier, VA 23192-2525

Mailing address

629 N Washington Hwy
Suite F
Ashland, VA 23005-1326
Phone (804) 305-5252

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
I20240819003609 VA Practitioner - Mental Health Counselor 0749728913 Practice locations: Ashland, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 N Washington Hwy
Suite F
Ashland, VA 23005-1326
Phone (804) 305-5252

629 N Washington Hwy F
Ashland, VA 23005-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
0701003463VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1306122064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N WASHINGTON HWY",
            "address_2": "SUITE F",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051326",
            "telephone_number": "804-305-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14004 PROFFITT FARM RD",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922525",
            "telephone_number": "804-305-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "KATHRYN",
        "middle_name": "GEARHEART",
        "credential": "MS, LPC, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VA

Sources for this page

Verify at the official NPI Registry.