Kasey Leigh Depriest, CPRS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5035 Issued in VA

Practice address

631 Berkmar Cir
Charlottesville, VA 22901-1464

Phone

(434) 400-9668

Fax

(434) 465-6018

NPI assigned

May 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kasey Leigh Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1407645211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PELHAM DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801555",
            "telephone_number": "540-470-1621",
            "fax_number": "434-465-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-400-9668",
            "fax_number": "434-465-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIEST",
        "first_name": "KASEY",
        "middle_name": "LEIGH",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "5035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PEER RECOVERY SPECIALIST",
            "identifier": "5035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "ELLIS",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanne M Densmore, MD
• John J. Densmore, M.D.
• John M. Dent, M.D.
• Dental Professionals of Virginia, P.C.
• Dental Professionals of Virginia, P.C.
• Alison C. Derbes, M.D.
• Amalie S Derdeyn, M.D.
• Colin P Derdeyn, MD
• Dermatologic Surgery of Central Virginia PLC
• Dermatology PLC

• Addiction (Substance Use Disorder) Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.