KERRY ANN KRUK-BORISOV LPC, ATR-BC, CSAC
NPI 1316390420
Counselor - Professional in Norfolk, VA

Q: What is Kerry Kruk-borisov's NPI number?

The NPI number for Kerry Kruk-borisov is 1316390420. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Q: What is Kerry Kruk-borisov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment

2200 COLONIAL AVE STE 12, NORFOLK, VA 23517(757) 937-5780 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Nov 26, 2016, Jul 14, 2016 (3 updates tracked since 2016).

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About Kerry Ann Kruk-borisov Lpc, Atr-bc, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY ANN KRUK-BORISOV LPC, ATR-BC, CSAC (NPI 1316390420) is an individual professional provider in Norfolk, Virginia, licensed in Virginia (0701005892) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2004).

NPPES Registry Identity

NPI1316390420

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKERRY ANN KRUK-BORISOVCredential: LPC, ATR-BC, CSAC

Location Address2200 COLONIAL AVE STE 12Norfolk, VA 23517-1919

Mailing Address3140 Herbert StNorfolk, VA 23513-2302 · (757) 589-3498

Phone(757) 937-5780

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2004

Enumeration DateJuly 14, 2016

Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1316390420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701005892

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710102187 (VA)

Also ListedArt TherapistTaxonomy 221700000X · License 0701005892 (VA)

2200 COLONIAL AVE STE 12, Norfolk, VA 23517

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry Ann Kruk-borisov Lpc, Atr-bc, Csac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163951054

PECOS Enrollment IDI20250122001162

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAURA JEANNE O'NEAL LCSW

Social Worker (Clinical)