Individual provider Active NPI

Karl George Memmer, LPC

  • Professional Counselor
  • Glen Allen, VA
National Provider Identifier
1992247548
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006803 Issued in VA
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

Updated by the provider on Nov 13, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311001084 VA Practitioner - Mental Health Counselor 6800260399 Reassigns benefits to 1 organization

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
Resilience Counseling and Social Skills Center LLCGroup PAC ID 4082088570, 28 clinicians

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

LicenseStateTypeSpecialty
0701006803VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Counseling & Social Skills Center LLC Professional CurrentSince Nov 28, 2017 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.

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

Verify at the official NPI Registry.