Individual provider Active NPI

Latoya Hospedales

  • Professional Counselor
  • Petersburg, VA
National Provider Identifier
1760909865
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007224 Issued in VA
Practice address
20 W Bank St Ste 5
Petersburg, VA 23803-3279
Phone
(804) 862-8002
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007224 VA
Professional Counselor 101YP2500X 0701007224 VA Primary

Addresses

Primary practice location

20 W Bank St Ste 5
Petersburg, VA 23803-3279

Mailing address

14202 Sonnenburg Dr
Chester, VA 23831-7074
Phone (804) 833-0051

Other practice location 1

8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512
Phone (703) 289-7560

Other names 1

  • Latoya Hospedales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240119003397 VA Practitioner - Mental Health Counselor 6709238280 Reassigns benefits to 2 organizations
I20240625001748 DC Practitioner - Mental Health Counselor 6709238280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007224VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Otl Community Services Mental Health CurrentSince Jan 5, 2024 Accepting new patients
Feeling & Healing Behavioral Health Solutions Professional CurrentSince Dec 8, 2024 Accepting new patients
Inova Health Care Services CurrentSince May 5, 2024 Accepting new patients
Inova Health Care Services CurrentSince May 5, 2024 Accepting new patients

Locations

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

8221 Willow Oaks Corporate Dr
Ste 4420
Fairfax, VA 22031
Phone (703) 289-7599

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

9201 Arboretum Pkwy
Ste 300
North Chesterfield, VA 23236
Phone (804) 520-4600

Organizations & group practices 4

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1760909865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 SONNENBURG DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317074",
            "telephone_number": "804-833-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W BANK ST STE 5",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033279",
            "telephone_number": "804-862-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-420",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7560",
            "fax_number": "703-204-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSPEDALES",
        "first_name": "LATOYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007224",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "HOSPEDALES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.