Individual provider Active NPI

Kathryn Cline Allen, LPC

  • Counselor
  • Newport News, VA
National Provider Identifier
1366451809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701002769 Issued in VA
Practice address
11825 Rock Landing Dr
The James Building
Newport News, VA 23606-4236
Phone
(757) 873-1736
Fax
(757) 873-1028
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701002769 VA Primary

Addresses

Primary practice location

11825 Rock Landing Dr
The James Building
Newport News, VA 23606-4236

Mailing address

276 Ships Way
Susan, VA 23163-2106
Phone (804) 725-0716

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
I20240315002721 VA Practitioner - Mental Health Counselor 7810333564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rock Landing Psychological Group PLCGroup PAC ID 1052209954, 19 clinicians

Practice addresses (Care Compare)

11825 Rock Landing Dr
Newport News, VA 23606-4236
Phone (757) 873-1736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Landing Psychological Group PLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

11825 Rock Landing Dr
Newport News, VA 23606
Phone (757) 873-1736

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366451809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SHIPS WAY",
            "city": "SUSAN",
            "state": "VA",
            "postal_code": "231632106",
            "telephone_number": "804-725-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 ROCK LANDING DR",
            "address_2": "THE JAMES BUILDING",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064236",
            "telephone_number": "757-873-1736",
            "fax_number": "757-873-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KATHRYN",
        "middle_name": "CLINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701002769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.