Individual provider Active NPI

Karen Kreutzberg, LPC

  • Professional Counselor
  • Radford, VA
National Provider Identifier
1770125320
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008620 Issued in VA
Practice address
401 W Main St
Radford, VA 24141-1588
Phone
(540) 838-8000
Fax
(540) 904-0051
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 0701008620 VA
Professional Counselor 101YP2500X 0701008620 VA Primary

Addresses

Primary practice location

401 W Main St
Radford, VA 24141-1588

Mailing address

700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

Other practice location 1

700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

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
I20240308002926 VA Practitioner - Mental Health Counselor 7214373539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Valley Community ServicesGroup PAC ID 3173518230, 42 clinicians

Practice addresses (Care Compare)

401 W Main St
Radford, VA 24141-1588
Phone (540) 838-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008620VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New River Valley Community Services CurrentSince Jan 1, 2024 Accepting new patients
New River Valley Community Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

700 University City Blvd
Blacksburg, VA 24060
Phone (540) 961-8300

705 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2238

401 W Main St
Radford, VA 24141
Phone (540) 838-8000

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1770125320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411588",
            "telephone_number": "540-838-8000",
            "fax_number": "540-904-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240602706",
            "country_code": "US",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREUTZBERG",
        "first_name": "KAREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008620",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.