Mary Elizabeth Kirkpatrick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704008553 Issued in VA

Practice address

7350 Heritage Village PLZ Unit 102
Gainesville, VA 20155-3085

Phone

(540) 216-2285

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mind Play, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gainesville, VA
  • NPI 1134715915
  Medicare reassignment NPD Authorized official
• Mind Play, LLC

  • Mental Health Counselor
  • Gainesville, VA
  • NPI 1457953283
  NPD Authorized official

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1366076952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6479 GOOCHLAND ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201874175",
            "telephone_number": "937-554-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 HERITAGE VILLAGE PLZ UNIT 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553085",
            "telephone_number": "540-216-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704008553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Khurana, DDS, IBCLC
• Jason P. Kiangsoontra, DDS, MS, FACP
• Dae Young Kim
• Matthew Peter Kim, DDS
• Christopher Kirby, DPT
• Ludmila Marie Kissi, M.D.
• KLC Counseling Services, LLC
• KND Development 59 LLC
• Corinne Knight, DPT
• Angela Kralik

• Mental Health Counselor in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.

Verify at the official NPI Registry.