Active NPI
Caitlin Gendron, LPC, MS, NCC
- Professional Counselor
- Williamsburg, VA
National Provider Identifier
1508749193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701015170
- Practice address
- 3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410 - Phone
- (757) 274-9354
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701015170 | VA | Primary |
Addresses
Primary practice location
3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410
Mailing address
204 Clay Pipe LN
Hampton, VA 23666-5347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701015170 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron Vines Counseling LLC | Professional | Current | Accepting new patients |
Locations
3204 Ironbound Rd
Ste D
Williamsburg, VA 23188
Phone (757) 274-9354
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 and National Provider Directory roles.
-
- Professional Counselor
- Williamsburg, VA
- NPI 1417696907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1508749193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CLAY PIPE LN",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 IRONBOUND RD STE D",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882410",
"telephone_number": "757-274-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDRON",
"first_name": "CAITLIN",
"credential": "LPC, MS, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701015170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.