Individual provider Active NPI

Kaci Kreilach, LPC

  • Mental Health Counselor
  • Chantilly, VA
National Provider Identifier
1649050352
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012863 Issued in VA
Practice address
4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270
Phone
(855) 326-4673
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012863 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270

Mailing address

906 NE 13TH PL
Cape Coral, FL 33909-1510
Phone (855) 326-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701012863VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rivers of Hope Counseling Center LLC Mental Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

4229 Lafayette Center Dr
Ste 1675
Chantilly, VA 20151
Phone (804) 476-0889

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1649050352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NE 13TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091510",
            "telephone_number": "855-326-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1675",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511270",
            "telephone_number": "855-326-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREILACH",
        "first_name": "KACI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.