Individual provider Active NPI

Kimberly Randolph Virgil

  • Professional Counselor
  • Gulfport, MS
National Provider Identifier
1801333182
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2968 Issued in MS
Practice address
18169 Cardinal LN
Gulfport, MS 39503-5677
Phone
(228) 343-5150
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 2968 MS Primary

Addresses

Primary practice location

18169 Cardinal LN
Gulfport, MS 39503-5677

Mailing address

18169 Cardinal LN
Gulfport, MS 39503-5677
Phone (228) 343-5150

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
2968MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Power of Healing Counseling Services LLC. CurrentSince Aug 11, 2024 Accepting new patients
Loving Hearts Social Services of New Orleans Past Accepting new patients

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1801333182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18169 CARDINAL LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035677",
            "telephone_number": "228-343-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18169 CARDINAL LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035677",
            "telephone_number": "228-343-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGIL",
        "first_name": "KIMBERLY",
        "middle_name": "RANDOLPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.