Individual provider Active NPI

Karen Massey, LPC

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1619492501
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014126 Issued in VA
Practice address
707 Gittings St
Suffolk, VA 23434-6101
Phone
(757) 514-3248
Fax
(757) 809-5387
NPI assigned
Aug 11, 2017
Reactivated
Nov 7, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014126 VA Primary

Addresses

Primary practice location

707 Gittings St
Suffolk, VA 23434-6101

Mailing address

308 Shore Dr
Suffolk, VA 23434-4234
Phone (610) 740-4429

Other practice location 1

2430 Gum Rd
Chesapeake, VA 23321-1510
Phone (410) 893-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250224000544 DC Practitioner - Mental Health Counselor 5991225823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

308 Shore Dr
Suffolk, VA 23434-4234

4037 Taylor Rd
Suite a
Chesapeake, VA 23321-5509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care of Northern Virginia LLC Professional CurrentSince Feb 1, 2025 Accepting new patients
Safe Harbor Behavioral Care, LLC Professional CurrentSince Oct 1, 2025 Accepting new patients
Wishing Well Mental Health Services, LLC CurrentSince May 23, 2026 Accepting new patients
Wishing Well Counseling Center, PLLC CurrentSince May 23, 2026 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

6408 Grovedale Dr
Ste 200
Alexandria, VA 22310

2430 Gum Rd
Chesapeake, VA 23321

4037 Taylor Rd
Ste A
Chesapeake, VA 23321
Phone (757) 483-1403

6427 Franconia Rd
Springfield, VA 22150
Phone (571) 234-1851

707 Gittings St
Ste 120
Suffolk, VA 23434
Phone (757) 514-3248

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1619492501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SHORE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344234",
            "telephone_number": "610-740-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-514-3248",
            "fax_number": "757-809-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Gum Rd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233211510",
            "country_code": "US",
            "telephone_number": "410-893-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "KAREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "deactivation_date": "2024-10-22",
        "reactivation_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.