Khilia Tyese Giacobone, PHD, LPC, CSOTP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011919 Issued in VA

Practice address

PO Box 337
Mechanicsville, VA 23111-0337

Phone

(804) 306-1790

NPI assigned

Oct 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youth for Tomorrow New Life Center IncGroup PAC ID 1951673227, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Youth for Tomorrow New Life Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Bristow, VA
  • NPI 1316118292

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1902628126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 CRAFTMASTER CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231116144",
            "telephone_number": "804-306-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231110337",
            "telephone_number": "804-306-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 Walnut Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Jarratt",
            "state": "VA",
            "postal_code": "238678611",
            "country_code": "US",
            "telephone_number": "804-306-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIACOBONE",
        "first_name": "KHILIA",
        "middle_name": "TYESE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011919",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George a Oley III PLC
• Catherine George, OT
• Nicholas Germane, D.M.D.
• Lisa M Gervasoni
• Leila Maral Ghaffari, DO
• Giant Food Stores, LLC
• John E Gibbs, MD
• Charles Matthew Gibellato, M.D.
• Andrew C Gibson, DDS
• Kevin Gibson, P.T.

• Professional Counselor in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.