Individual provider Active NPI

Kerrie Michelle Laughlin, CSAC, LPC

  • Professional Counselor
  • Herndon, VA
National Provider Identifier
1861133894
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011929 Issued in VA
Practice address
425 Carlisle Dr Ste B
Herndon, VA 20170-5618
Phone
(703) 464-5122
Fax
(703) 463-5822
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 0701011929 VA Primary

Addresses

Primary practice location

425 Carlisle Dr Ste B
Herndon, VA 20170-5618

Mailing address

13514 Fallen Oak CT
Chantilly, VA 20151-2429
Phone (919) 830-4338

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
0701011929VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aquila Recovery of Virginia LLC CurrentSince Apr 10, 2022 Accepting new patients
Desi Farren C.a.C. & Associates PastSince Apr 10, 2022 Accepting new patients

Locations

425 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (703) 464-5122

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1861133894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13514 FALLEN OAK CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512429",
            "telephone_number": "919-830-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705618",
            "telephone_number": "703-464-5122",
            "fax_number": "703-463-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "KERRIE",
        "middle_name": "MICHELLE",
        "credential": "CSAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.