Individual provider Active NPI

Kathryn Goss Atanasov, PHD, LPC, NCC, CSAC

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1992287833
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007579 Issued in VA
Practice address
Farley Iop Williamsburg Place
5477 Mooretown Road
Williamsburg, VA 23188
Phone
(757) 280-1194
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 0710103039 VA
Professional Counselor 101YP2500X 0701007579 VA Primary

Addresses

Primary practice location

Farley Iop Williamsburg Place
5477 Mooretown Road
Williamsburg, VA 23188

Mailing address

3493 Frances Berkeley
Williamsburg, VA 23188-1334
Phone (757) 232-7108

Other practice location 1

3493 Frances Berkeley
Williamsburg, VA 23188-1334
Phone (757) 232-7108

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
I20250820002983 VA Practitioner - Mental Health Counselor 2769875921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 Bulifants Blvd
Suite C
Williamsburg, VA 23188-5719
Phone (757) 707-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0710103039VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Owls LLC Professional CurrentSince May 14, 2025 Accepting new patients

Locations

113 Bulifants Blvd
Ste C
Williamsburg, VA 23188
Phone (757) 585-3366

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1992287833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 FRANCES BERKELEY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881334",
            "telephone_number": "757-232-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARLEY IOP WILLIAMSBURG PLACE",
            "address_2": "5477 MOORETOWN ROAD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-280-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3493 Frances Berkeley",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231881334",
            "country_code": "US",
            "telephone_number": "757-232-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATANASOV",
        "first_name": "KATHRYN",
        "middle_name": "GOSS",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103039",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.