Kaylah Bryant Carter, LPC
Individual provider Active NPI Professional Counselor · Buchanan, VA
NPI 1386236644 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1386236644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701010173 (VA)
- Practice address
- 2631 Beaver Dam Rd
Buchanan, VA 24066-4894 - Phone
- (540) 598-3080
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Counseling Center, Inc.
Practice addresses (Care Compare)
2202 Executive Dr
Suite C
Hampton, VA 23666-6604
Phone (757) 827-7707
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325000394 | VA | Practitioner - Mental Health Counselor | 2567985187 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Center, Inc. | Professional | Current |
Accepting new patients |
Locations
638 Independence Pkwy
Ste 240
Chesapeake, VA 23320
Phone (757) 609-3677
2202 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 838-5055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701010173 | VA | Yes |
Addresses
Primary practice location
2631 Beaver Dam Rd
Buchanan, VA 24066-4894
Mailing address
2631 Beaver Dam Rd
Buchanan, VA 24066-4894
Phone (540) 598-3080
Other practice location 1
2202 Executive Dr Ste C
Hampton, VA 23666-6604
Phone (757) 827-7707
Other providers in Buchanan, VA
- Abe & Norma'S RX Inc
- Abe&Norma RX Inc
- Carilion Healthcare Corporation
- Carilion Rockbridge Community Hospital
- Diane Myers Cook
- Mary Virginia Falls
- Robert J. Glenney
- H2 Rehabilitation Services of Virginia, LLC
- Tessa Lynn Haynes
All providers in Buchanan, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.