Individual provider Active NPI

Kaimare Laird, LPC, CMPC

  • Mental Health Counselor
  • Williamsburg, VA
National Provider Identifier
1659904373
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701008701 Issued in VA
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

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
0701008701VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Performance Pursuit Multi-Specialty CurrentSince Feb 1, 2020 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.

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.

Verify at the official NPI Registry.