Organization Active NPI

Kmcounselingllc

  • Community/Behavioral Health Agency
  • Alexandria, VA
National Provider Identifier
1427440189
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904003516 Issued in VA
Legal business name
KMCOUNSELINGLLC
Practice address
23 Groves Ave
Alexandria, VA 22305-2508
Phone
(703) 887-9476
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mrs. Kelly Michaels Miller, L.C.S.W.NPI 1609266865
Title
Owner
Phone
(703) 887-9476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0904003516 VA Primary

Addresses

Primary practice location

23 Groves Ave
Alexandria, VA 22305-2508

Mailing address

23 Groves Ave
Alexandria, VA 22305-2508
Phone (703) 887-9476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150826001084 DC Part B Supplier - Clinic/Group Practice 8820304553 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1427440189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GROVES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052508",
            "telephone_number": "703-887-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GROVES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052508",
            "telephone_number": "703-887-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMCOUNSELINGLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MICHAELS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-887-9476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.