Active NPI
Kaimare Laird, LPC, CMPC
- Mental Health Counselor
- Williamsburg, VA
National Provider Identifier
1659904373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701008701
- Practice address
- 5700 Warhill TRL
Williamsburg, VA 23188-9419 - Phone
- (757) 253-1947
- NPI assigned
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701008701 | VA | Primary |
Addresses
Primary practice location
5700 Warhill TRL
Williamsburg, VA 23188-9419
Mailing address
300 Whitworth Way Apt 203
Williamsburg, VA 23185-3677
Phone (312) 351-5982
Other practice location 1
300 Whitworth Way Apt 203
Williamsburg, VA 23185-3677
Phone (312) 351-5982
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008701 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Performance Pursuit | Multi-Specialty | Current | Accepting new patients |
| Williamsburg Indoor Sports Complex | Multi-Specialty | Current | Accepting new patients |
Locations
5700 Warhill Trl
Williamsburg, VA 23188
Phone (757) 253-1947
Organizations & group practices 2
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.
-
- Professional Counselor
- Williamsburg, VA
- NPI 1538785795
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1659904373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WHITWORTH WAY APT 203",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853677",
"telephone_number": "312-351-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 WARHILL TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231889419",
"telephone_number": "757-253-1947"
}
],
"practiceLocations": [
{
"address_1": "300 Whitworth Way Apt 203",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231853677",
"country_code": "US",
"telephone_number": "312-351-5982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAIRD",
"first_name": "KAIMARE",
"credential": "LPC, CMPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701008701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.