Active NPI
Karl George Memmer, LPC
- Professional Counselor
- Glen Allen, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701006803
- Practice address
- 5374 Twin Hickory Rd
Glen Allen, VA 23059 - Phone
- (540) 699-0226
- Fax
- (540) 699-0224
- NPI assigned
- Nov 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006803 | VA | Primary |
Addresses
Primary practice location
5374 Twin Hickory Rd
Glen Allen, VA 23059
Mailing address
306 Westwood Office Park
Fredericksburg, VA 22401-5108
Phone (540) 699-0226
Other practice location 1
601 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-4564
Phone (540) 388-1124
Other practice location 2
306 Westwood Office Park
Fredericksburg, VA 22401-5108
Phone (540) 699-0226 ext. 101
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6524 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (540) 699-0226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006803 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Counseling & Social Skills Center LLC | Professional | Current | Accepting new patients |
Locations
1135 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 699-0226
306 Westwood Office Park
Fredericksburg, VA 22401
Phone (540) 699-0226
5374 Twin Hickory Rd
Glen Allen, VA 23059
Phone 5406990226 ext. 156
6524 Woodlake Village Cir
Midlothian, VA 23112
Phone (540) 699-0226
3536 Grove Ave
Ste E
Richmond, VA 23221
3536 Grove Ave
Richmond, VA 23221
Phone (804) 359-1768
2052 Richmond Hwy
Ste 201
Stafford, VA 22554
Phone (540) 699-0226
Organizations & group practices 1
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.
-
- Professional Counselor
- Midlothian, VA
- NPI 1245724707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1992247548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 WESTWOOD OFFICE PARK",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015108",
"telephone_number": "540-699-0226",
"fax_number": "540-699-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5374 TWIN HICKORY RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "23059",
"telephone_number": "540-699-0226",
"fax_number": "540-699-0224"
}
],
"practiceLocations": [
{
"address_1": "601 Jefferson Davis Hwy",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014564",
"country_code": "US",
"telephone_number": "540-388-1124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Westwood Office Park",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224015108",
"country_code": "US",
"telephone_number": "540-699-0226 x101",
"fax_number": "540-699-0224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEMMER",
"first_name": "KARL",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-14",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.