Active NPI
Kathleen Frances Gordon-Granado, LPC
- Counselor
- Alexandria, VA
National Provider Identifier
1306181599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701005040
- Practice address
- 4402 Kerrybrooke Dr Ste 250
Alexandria, VA 22310-1421 - Phone
- (971) 563-8889
- Fax
- (703) 841-2750
- NPI assigned
- Nov 29, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701005040 | VA | Primary |
Addresses
Primary practice location
4402 Kerrybrooke Dr Ste 250
Alexandria, VA 22310-1421
Mailing address
PO Box 151162
Alexandria, VA 22315-1162
Phone (971) 563-8889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005040 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities | Past | Accepting new patients |
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
- Arlington, VA
- NPI 1043504921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1306181599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151162",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223151162",
"telephone_number": "971-563-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 KERRYBROOKE DR STE 250",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223101421",
"telephone_number": "971-563-8889",
"fax_number": "703-841-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON-GRANADO",
"first_name": "KATHLEEN",
"middle_name": "FRANCES",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-29",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701005040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.