Individual provider Active NPI

Karen Haley Cersley, LPC, MBA, MA

  • Professional Counselor
  • Troy, VA
National Provider Identifier
1750914818
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008962 Issued in VA
Practice address
5578 Richmond Rd Ste 203
Troy, VA 22974-4421
Phone
(434) 825-9768
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 0701008962 VA Primary

Addresses

Primary practice location

5578 Richmond Rd Ste 203
Troy, VA 22974-4421

Mailing address

7388 Venable Rd
Kents Store, VA 23084-2057
Phone (434) 825-9768

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240523004086 VA Practitioner - Mental Health Counselor 2668812538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5578 Richmond Rd
Suite 203
Troy, VA 22974-4421
Phone (434) 825-9768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
0701008962VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Point Group, LLC CurrentSince Mar 14, 2024 Accepting new patients

Locations

5578 Richmond Rd
Ste 203
Troy, VA 22974
Phone (434) 414-6375

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, 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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1750914818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7388 VENABLE RD",
            "city": "KENTS STORE",
            "state": "VA",
            "postal_code": "230842057",
            "telephone_number": "434-825-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 RICHMOND RD STE 203",
            "city": "TROY",
            "state": "VA",
            "postal_code": "229744421",
            "telephone_number": "434-825-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERSLEY",
        "first_name": "KAREN",
        "middle_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "LPC, MBA, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Healthcare practice software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5578 Richmond Rd Ste 203",
            "city": "Troy",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229744421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, VA

Sources for this page

Verify at the official NPI Registry.