Individual provider Active NPI

Karina M Chace, PH.D, LPC

  • Professional Counselor
  • Purcellville, VA
National Provider Identifier
1992291397
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007353 Issued in VA
Practice address
133 E Main St
Purcellville, VA 20132-3175
Phone
(503) 752-1388
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 0701007353 VA Primary

Addresses

Primary practice location

133 E Main St
Purcellville, VA 20132-3175

Mailing address

36416 Silcott Meadow PL
Purcellville, VA 20132-3970
Phone (503) 752-1388

Other names 1

  • Dr. Karina M Chace Other 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701007353VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1992291397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36416 SILCOTT MEADOW PL",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323970",
            "telephone_number": "503-752-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323175",
            "telephone_number": "503-752-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACE",
        "first_name": "KARINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARINA",
            "last_name": "CHACE",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.