Organization Active NPI

Kessler Psychological, LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1356769749
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
915238 Issued in VA
Legal business name
KESSLER PSYCHOLOGICAL, LLC
Practice address
4164 Virginia Beach Blvd Ste 204
Virginia Beach, VA 23452
Phone
(757) 622-1060
Fax
(757) 622-1601
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Dr. Lena KesslerNPI 1548500028
Title
Licensed Clinical Psychologist
Phone
(757) 622-1060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 915238 VA Primary

Addresses

Primary practice location

4164 Virginia Beach Blvd Ste 204
Virginia Beach, VA 23452

Mailing address

142 W York St
Suite 609
Norfolk, VA 23510-2015
Phone (757) 622-1060

Other identifiers 1

IdentifierTypeStateIssuer
1548500028MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140613001945 VA Part B Supplier - Clinic/Group Practice 5698999639 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

309 W Bute St
Ste 200
Norfolk, VA 23510
Phone (757) 622-1060

4164 Virginia Beach Blvd
Ste 204
Virginia Beach, VA 23452
Phone (757) 622-1060

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1356769749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 609",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-622-1060",
            "fax_number": "757-622-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD STE 204",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-622-1060",
            "fax_number": "757-622-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESSLER PSYCHOLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-622-1060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "915238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548500028",
            "state": "VA"
        }
    ],
    "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 Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.