Individual provider Active NPI

Kjerstin Lemke, LPC, NCC, C-DBT, CPD

  • Professional Counselor
  • Fort Mitchell, AL
National Provider Identifier
1528649191
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05479 Issued in AL
Practice address
3 Annie CT
Fort Mitchell, AL 36856-4439
Phone
(571) 222-5381
NPI assigned
Apr 15, 2021
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704014266 VA
Professional Counselor 101YP2500X 0701013335 VA
Professional Counselor 101YP2500X LPC05479 AL Primary

Addresses

Primary practice location

3 Annie CT
Fort Mitchell, AL 36856-4439

Mailing address

224 D Cornwall Street NW
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other practice location 1

7921 Jones Branch Drive, Suite 311
McLean, VA 22102-3334
Phone (703) 772-4428

Other identifiers 2

IdentifierTypeStateIssuer
1528649191MedicaidVA
30017820160001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240528000427 DC Practitioner - Mental Health Counselor 2264874965 Reassigns benefits to 1 organization
I20241204002807 AL Practitioner - Mental Health Counselor 2264874965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

7921 Jones Branch Dr
Suite 311
MC Lean, VA 22102-3334
Phone (703) 772-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704014266VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TSG Counseling LLC CurrentSince Aug 13, 2024 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 29, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 29, 2024 Accepting new patients

Locations

120 19th St N
Ste 201
Birmingham, AL 35203
Phone (205) 500-0278

1206 Broad St
#101
Phenix City, AL 36867
Phone (334) 664-9889

1206 Broad St
Ste 101
Phenix City, AL 36867

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

7921 Jones Branch Dr
Ste 311
McLean, VA 22102
Phone (703) 772-4428

Organizations & group practices 4

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1528649191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 D CORNWALL STREET NW",
            "address_2": "STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ANNIE CT",
            "city": "FORT MITCHELL",
            "state": "AL",
            "postal_code": "368564439",
            "telephone_number": "571-222-5381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7921 Jones Branch Drive, Suite 311",
            "address_purpose": "LOCATION",
            "city": "McLean",
            "state": "VA",
            "postal_code": "221023334",
            "country_code": "US",
            "telephone_number": "703-772-4428",
            "fax_number": "571-384-6309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "KJERSTIN",
        "credential": "LPC, NCC, C-DBT, CPD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014266",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013335",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528649191",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017820160001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mitchell, AL

Sources for this page

Verify at the official NPI Registry.