Kinsey Tyler, LPC
Individual provider Active NPI Professional Counselor · Fredericksbrg, VA
NPI 1508557166 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1508557166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701016274 (VA)
- Practice address
- 600 Jackson St
Fredericksbrg, VA 22401-5719 - Phone
- (540) 834-6453
- Fax
- (540) 371-3753
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 Jackson St
Fredericksburg, VA 22401-5719
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260619001097 | VA | Practitioner - Mental Health Counselor | 2163994245 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701016274 | VA | Yes |
Addresses
Primary practice location
600 Jackson St
Fredericksbrg, VA 22401-5719
Mailing address
600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223
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- Jessica M Somma
- Brenda Tejeda
- The Trauma Informed-Care Center
- Ultra Smiles LLC
- Chizoba Uzochukwu
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- Visionove LLC
- Frans A Vossenberg
All providers in Fredericksbrg, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.