Mary Elizabeth Klabunde, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012304 Issued in VA

Practice address

1525 Huguenot Rd Ste 100
Midlothian, VA 23113-2438

Phone

(804) 924-7600

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Beth Kent Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1699479543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 HAPPY HILL RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316610",
            "telephone_number": "804-314-2330",
            "fax_number": "804-314-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HUGUENOT RD STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132438",
            "telephone_number": "804-924-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLABUNDE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KENT",
            "middle_name": "BETH",
            "credential": "MARY KLABUNDE, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evan T Kirk, PT, DPT
• Jared Kirkbride, PA
• Karen Lynn Kish, NP
• Jere' S Kitchen, FNP
• Ruth Lynn Kitchens, CTR/L
• Andrea Klein
• Dana Allen Kleinschuster, NP
• Kathryn Kline
• Alysha Knapp
• Caroline Joyce Knight, RD

• Professional Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.