Active NPI
Kaitlin Suzanne Walsh, MSED
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1396367413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704011937
- Practice address
- 1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337 - Phone
- (757) 817-2577
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704011937 | VA | Primary |
Addresses
Primary practice location
1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337
Mailing address
1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337
Phone (757) 817-2577
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 |
|---|---|---|---|
| 0704011937 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1396367413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 LASKIN RD STE 14C",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234516337",
"telephone_number": "757-817-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1064 LASKIN RD STE 14C",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234516337",
"telephone_number": "757-817-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KAITLIN",
"middle_name": "SUZANNE",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704011937",
"primary": true
}
],
"identifiers": [],
"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 May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.