Individual provider Active NPI

Kimberley Michelle Hardy, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1427486331
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC11465 Issued in MD
Practice address
1800 Diagonal Rd Ste 600
Alexandria, VA 22314-2840
Phone
(440) 444-7140
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0900521 OH
Professional Counselor 101YP2500X 0701010368 VA
Professional Counselor 101YP2500X LC11465 MD Primary

Addresses

Primary practice location

1800 Diagonal Rd Ste 600
Alexandria, VA 22314-2840

Mailing address

1800 Diagonal Rd Ste 600
Alexandria, VA 22314-2840
Phone (440) 444-7140

Other practice location 1

127 Bloomingdale Ave
Federalsburg, MD 21632-1010
Phone (571) 992-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624004050 DC Practitioner - Mental Health Counselor 8527501196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0900521OHMDMental Health Counselor
LC11465MDMDProfessional Counselor
0701010368VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince May 5, 2024 Accepting new patients
Kmhardymindfulness.Life, LLC Mental Health Current Accepting new patients
Inova Health Care Services CurrentSince May 5, 2024 Accepting new patients

Locations

26250 Euclid Ave
Ste 901
Euclid, OH 44132
Phone (216) 245-2823

1800 Diagonal Rd
Ste 600
Alexandria, VA 22314
Phone (571) 539-8080

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

8221 Willow Oaks Corporate Dr
Ste 4425
Fairfax, VA 22031
Phone (703) 289-7599

Interoperability endpoints

  • Direct secure messaging: pbc.kimberleyhardy@140094.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1427486331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840",
            "telephone_number": "440-444-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840",
            "telephone_number": "440-444-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Bloomingdale Ave",
            "address_purpose": "LOCATION",
            "city": "Federalsburg",
            "state": "MD",
            "postal_code": "216321010",
            "country_code": "US",
            "telephone_number": "571-992-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "KIMBERLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0900521",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010368",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.