Individual provider Active NPI

Lena Kessler

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1548500028
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004616 Issued in VA
Practice address
4164 Virginia Beach Blvd Ste 204
Virginia Beach, VA 23452-1762
Phone
(917) 346-8373
Fax
(757) 622-1601
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004616 VA Primary

Addresses

Primary practice location

4164 Virginia Beach Blvd Ste 204
Virginia Beach, VA 23452-1762

Mailing address

4164 Virginia Beach Blvd Ste 204
Virginia Beach, VA 23452-1762
Phone (757) 622-1060

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140613001990 VA Practitioner - Clinical Psychologist 8224252267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kessler Psychological LLCGroup PAC ID 5698999639, 2 clinicians

Practice addresses (Care Compare)

4164 Virginia Beach Blvd
Suite 204
Virginia Beach, VA 23452-1762
Phone (757) 622-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810004616VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Psychological, LLC CurrentSince Apr 4, 2014 Accepting new patients

Locations

4164 Virginia Beach Blvd
Ste 204
Virginia Beach, VA 23452
Phone (757) 622-1060

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.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1548500028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD STE 204",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521762",
            "telephone_number": "757-622-1060",
            "fax_number": "757-622-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD STE 204",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521762",
            "telephone_number": "917-346-8373",
            "fax_number": "757-622-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "LENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.