Active NPI
Kasi Howard
- Psychologist
- Portsmouth, VA
National Provider Identifier
1407012453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35032
- Practice address
- 2404 Airline Blvd
Portsmouth, VA 23701-2912 - Phone
- (757) 488-9161
- Fax
- (757) 488-9652
- NPI assigned
- Jul 30, 2008
- Last updated
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 35032 | TX | Primary |
Addresses
Primary practice location
2404 Airline Blvd
Portsmouth, VA 23701-2912
Mailing address
2404 Airline Blvd
Portsmouth, VA 23701-2912
Phone (757) 488-9161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120426000170 | TX | Order and Referring Only - Clinical Psychologist | 3072775741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35032 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Peace, LLC | Current | Accepting new patients | |
| Innova Recovery Center, PLLC | Current | Accepting new patients | |
| Innova Peace | Current | Accepting new patients | |
| Tiderwater Youth Service Commission | Past | Accepting new patients | |
| Tidewater Regional Group Home Commission | Past | Accepting new patients | |
| Innova Recovery, PLLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
dba Innova Recovery Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Feasterville Trevose, PA
- NPI 1104522440
-
dba Innova recovery center
- Psychiatric Residential Treatment Facility
- Boerne, TX
- NPI 1285360560
-
dba Innova Recovery Center
- Psychiatric Residential Treatment Facility
- San Antonio, TX
- NPI 1821546078
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1457281271
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Portsmouth, VA
- NPI 1215165451
-
- Community/Behavioral Health Agency
- Portsmouth, VA
- NPI 1669482501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1407012453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 AIRLINE BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237012912",
"telephone_number": "757-488-9161",
"fax_number": "757-488-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 AIRLINE BLVD",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237012912",
"telephone_number": "757-488-9161",
"fax_number": "757-488-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "KASI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "35032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.