Active NPI
Kimberley Michelle Hardy, LPC
- Professional Counselor
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC11465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0900521 | OH | MD | Mental Health Counselor |
| LC11465 | MD | MD | Professional Counselor |
| 0701010368 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Kmhardymindfulness.Life, LLC | Mental Health | Current | Accepting new patients |
| Inova Health Care Services | Current | 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
- 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.
-
- Mental Health Counselor
- Alexandria, VA
- NPI 1003504846
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.