MS. KATHLEEN KRUPKA BUTLER LPC
NPI 1417059502
Counselor - Professional in Vienna, VA

Active since September 01, 2006PECOS Enrolled
8422 ELECTRIC AVE, VIENNA, VA 22182(703) 849-1312(703) 876-0573 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kathleen Krupka Butler Lpc NPPES

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

MS. KATHLEEN KRUPKA BUTLER LPC (NPI 1417059502) is an individual professional provider in Vienna, Virginia, licensed in Virginia (0701001284) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417059502
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KATHLEEN KRUPKA BUTLERCredential: LPC
Location Address8422 ELECTRIC AVEVienna, VA 22182-5109
Mailing Address8422 Electric AveVienna, VA 22182-5109 · (703) 849-1312 · Fax (703) 876-0573
Fax(703) 876-0573
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417059502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701001284
8422 ELECTRIC AVE, Vienna, VA 22182

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen Krupka Butler Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Director Of Finance-County Of Fairfax Va
  • 383 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
8422 ELECTRIC AVE
VIENNA, VA 22182
Registered Nurse
8422 ELECTRIC AVE
VIENNA, VA 22182
Substance Abuse Rehabilitation Facility
8422 ELECTRIC AVE
VIENNA, VA 22182
Psychologist (Clinical)
8422 ELECTRIC AVE
VIENNA, VA 22182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Butler's NPI number?

The NPI number for Kathleen Butler is 1417059502. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Kathleen Butler located?

Kathleen Butler practices at 8422 Electric Ave, Vienna, VA 22182. The listed phone number is (703) 849-1312.

What is Kathleen Butler's specialty?

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

Is Kathleen Butler enrolled in Medicare?

Yes. Kathleen Butler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Butler reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Butler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.