Organization Active NPI

KLG Counseling & Consulting Services, LLC

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1902314271
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008950 Issued in VA
Legal business name
KLG COUNSELING & CONSULTING SERVICES, LLC
Practice address
12 Musket LN
Hampton, VA 23666-5345
Phone
(757) 344-3848
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Kenyuatia Lynn Gash, LCSW
Title
Ceo/Founder
Phone
(757) 344-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904008950 VA Primary

Addresses

Primary practice location

12 Musket LN
Hampton, VA 23666-5345

Mailing address

12 Musket LN
Hampton, VA 23666-5345
Phone (757) 344-3848

Other identifiers 1

IdentifierTypeStateIssuer
1831440544MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1902314271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MUSKET LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665345",
            "telephone_number": "757-344-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MUSKET LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665345",
            "telephone_number": "757-344-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLG COUNSELING & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "GASH",
        "authorized_official_first_name": "KENYUATIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "757-344-3848",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831440544",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.