Individual provider Active NPI

Kaila Nicole Laxa, LPC, PHD, MA

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1457034563
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015179 Issued in VA
Practice address
508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178
Phone
(757) 490-6463
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701015179 VA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178

Mailing address

3012 Parkside Cir
Suffolk, VA 23435-3378
Phone (757) 383-5432

Other practice location 1

6330 Newtown Rd Ste 625
Norfolk, VA 23502-4807
Phone (757) 206-2378

Other practice location 2

3012 Parkside Cir
Suffolk, VA 23435-3378
Phone (757) 354-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251104003803 VA Practitioner - Mental Health Counselor 6800386376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

328 Chase Arbor CT
Virginia Beach, VA 23462-7407

508 S Independence Blvd
Suite 200
Virginia Beach, VA 23452-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701015179VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Health Services LLC Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Transcverse LLC Professional CurrentSince Sep 3, 2025 Accepting new patients
Transformation Health Services LLC Mental Health PastSince Aug 3, 2025 Accepting new patients

Locations

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1457034563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 PARKSIDE CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353378",
            "telephone_number": "757-383-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521178",
            "telephone_number": "757-490-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 Newtown Rd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024807",
            "country_code": "US",
            "telephone_number": "757-206-2378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3012 Parkside Cir",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353378",
            "country_code": "US",
            "telephone_number": "757-354-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAXA",
        "first_name": "KAILA NICOLE",
        "credential": "LPC, PHD, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015179",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.