Katrina Michele Faison-Crew, LPC
Individual provider Active NPI Professional Counselor · Franklin, VA
NPI 1598567604 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1598567604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701014674 (VA)
- Practice address
- 200 E 2ND Ave
Franklin, VA 23851-1506 - Phone
- (757) 297-6746
- NPI assigned
- Mar 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Liberty Univ College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Western Tidewater Community Mental
Optum Behavioral Care of Virginia Inc
Practice addresses (Care Compare)
7025 Harbour View Blvd
Suite 119
Suffolk, VA 23435-2762
Phone (757) 966-2805
809 Kent PL
Chesapeake, VA 23320-0768
Phone (757) 436-0605
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730000773 | VA | Practitioner - Mental Health Counselor | 8426565805 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701014674 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Virginia, Inc. | Current |
Accepting new patients | |
| Optum Behavioral Care of Virginia, Inc. | Current |
Accepting new patients | |
| Western Tidewater Community Mental | Current |
Accepting new patients |
Locations
809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605
200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208
7760 Shrader Rd
#B
Richmond, VA 23228
Phone (804) 591-0002
1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458
1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484
7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701014674 | VA | Yes |
Addresses
Primary practice location
200 E 2ND Ave
Franklin, VA 23851-1506
Mailing address
2125 Silverberry Dr Apt 108
Chesapeake, VA 23321-3281
Phone (757) 297-6746
Other providers in Franklin, VA
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- Hossain Esmaili
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- Family Therapeutic Services, LLC
- Tiffany Anne Fancher
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All providers in Franklin, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.