Kristen Leonard Fly, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001230 Issued in VA

Practice address

718 J Clyde Morris Blvd
Suite D
Newport News, VA 23601-1540

Phone

(757) 912-5359

Fax

(757) 595-1885

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fly Family Therapy IncGroup PAC ID 7315377173, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fly Family Therapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
  • NPI 1881171668
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1548395478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 J CLYDE MORRIS BLVD",
            "address_2": "SUITE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011540",
            "telephone_number": "757-912-5359",
            "fax_number": "757-595-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 J CLYDE MORRIS BLVD",
            "address_2": "SUITE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011540",
            "telephone_number": "757-912-5359",
            "fax_number": "757-595-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLY",
        "first_name": "KRISTEN",
        "middle_name": "LEONARD",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTINTERN, IMF 49868",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Louise Flores, MA, BCABA
• Nayda Maria Flores, PH.D., LCP
• Lauren Floyd
• Fly Family Therapy, Inc.
• Francis Lanier Fly, D.MIN
• Arianah Flynn
• Mariel A Focseneanu, MD
• Leah V. Fontaine-Edmonds, LPC
• Christian Trent Fontan
• Foot and Ankle Specialists of the Mid-Atlantic LLC

• Marriage & Family Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.

Verify at the official NPI Registry.