Active NPI
Kaila Nicole Laxa, LPC, PHD, MA
- Professional Counselor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701015179
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701015179 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformation Health Services LLC | Mental Health | Current | Accepting new patients |
| Transcverse LLC | Professional | Current | Accepting new patients |
| Transformation Health Services LLC | Mental Health | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1508373812
-
- Professional Counselor
- Suffolk, VA
- NPI 1902784143
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1013844893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.