Individual provider Active NPI

Mary Katherine Gravely, M.ED.

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1508579822
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701016107 Issued in VA
Practice address
1901 E Franklin St Ste 108
Richmond, VA 23223-6966
Phone
(804) 331-2570
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701016107 VA Primary

Addresses

Primary practice location

1901 E Franklin St Ste 108
Richmond, VA 23223-6966

Mailing address

1901 E Franklin St Ste 108
Richmond, VA 23223-6966
Phone (804) 331-2570

Other names 1

  • Kat Gravely Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0701016107VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Health and Development Center, Inc Mental Health PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1508579822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E FRANKLIN ST STE 108",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236966",
            "telephone_number": "804-331-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E FRANKLIN ST STE 108",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236966",
            "telephone_number": "804-331-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVELY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701016107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAT",
            "last_name": "GRAVELY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.