Individual provider Active NPI

Gillian St. Amour, RIC

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1942030507
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704017038 Issued in VA
Practice address
1005 Sophia St Ste 200
Fredericksburg, VA 22401-3809
Phone
(540) 445-1803
Fax
(540) 318-1483
NPI assigned
Aug 7, 2024
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0709025506 VA
Mental Health Counselor 101YM0800X 0704017038 VA Primary

Addresses

Primary practice location

1005 Sophia St Ste 200
Fredericksburg, VA 22401-3809

Mailing address

292 Garrisonville Rd
Stafford, VA 22554-1574
Phone (540) 445-1803

Other identifiers 2

IdentifierTypeStateIssuer
0709025506OtherVACSAC SUPERVISEE
0704017038OtherVALICENSED RESIDENT IN COUNSELING

Other names 1

  • Gillian Hordusky Former name

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
0709025506VAMDAddiction (Substance Use Disorder) Counselor
0704017038VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kemp Psychological Services, Inc. Mental Health CurrentSince Sep 14, 2025 Accepting new patients
All Points North Counseling Services PastSince Aug 1, 2024 Accepting new patients

Locations

1005 Sophia St
#200
Fredericksburg, VA 22401
Phone (540) 445-1803

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1942030507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541574",
            "telephone_number": "540-445-1803",
            "fax_number": "540-318-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SOPHIA ST STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013809",
            "telephone_number": "540-445-1803",
            "fax_number": "540-318-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. AMOUR",
        "first_name": "GILLIAN",
        "credential": "RIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0709025506",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSAC SUPERVISEE",
            "identifier": "0709025506",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED RESIDENT IN COUNSELING",
            "identifier": "0704017038",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILLIAN",
            "last_name": "HORDUSKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.