KAILA NICOLE LAXA LPC, PHD, MA
NPI 1457034563
Counselor - Professional in Virginia Beach, VA

Q: What is Kaila Nicole Laxa's NPI number?

The NPI number for Kaila Nicole Laxa is 1457034563. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Q: What is Kaila Nicole Laxa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaila Nicole Laxa was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since August 08, 2023PECOS Enrolled

508 S INDEPENDENCE BLVD STE 200, VIRGINIA BEACH, VA 23452(757) 490-6463 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaila Nicole Laxa Lpc, Phd, Ma NPPES

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

KAILA NICOLE LAXA LPC, PHD, MA (NPI 1457034563) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701015179) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457034563

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKAILA NICOLE LAXACredential: LPC, PHD, MA

Location Address508 S INDEPENDENCE BLVD STE 200Virginia Beach, VA 23452-1178

Mailing Address3012 Parkside CirSuffolk, VA 23435-3378 · (757) 383-5432

Phone(757) 490-6463

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 8, 2023

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1457034563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701015179

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

508 S INDEPENDENCE BLVD STE 200, Virginia Beach, VA 23452

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Secondary Practice Locations 2

Location 16330 Newtown Rd Ste 625Norfolk, VA 23502-4807 · Phone (757) 206-2378

Location 23012 Parkside CirSuffolk, VA 23435-3378 · Phone (757) 354-2075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaila Nicole Laxa Lpc, Phd, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800386376

PECOS Enrollment IDI20251104003803

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 9

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

TRANSFORMATION HEALTH SERVICES LLC

Nurse Practitioner (Psychiatric/Mental Health)