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KRYSTELLE M ROLDAN LPC
NPI 1508695917
Counselor - Professional in Virginia Beach, VA

Active since August 01, 2024PECOS Enrolled
409 BIRDNECK CIR, VIRGINIA BEACH, VA 23451(757) 385-6950(757) 437-4710 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2025, Aug 1, 2024 (2 updates tracked since 2024).

About Krystelle M Roldan Lpc NPPES

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

KRYSTELLE M ROLDAN LPC (NPI 1508695917) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701014368) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508695917
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRYSTELLE M ROLDANCredential: LPC
Location Address409 BIRDNECK CIRVirginia Beach, VA 23451-5516
Mailing Address1292 Corsair Dr Apt 102Virginia Beach, VA 23454-5423 · (860) 514-6267
Phone(757) 385-6950
Fax(757) 437-4710
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 1, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1508695917 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 · 0701014368
409 BIRDNECK CIR, Virginia Beach, VA 23451
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystelle M Roldan Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436622347
PECOS Enrollment IDI20260623001436
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 Krystelle Roldan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Tidewater Community Mental
25 mi
Mental Health (Including Community Mental Health Center)
7025 HARBOUR VIEW BLVD STE 119
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 76 clinicians in this Medicare group
NPI 1689615296 (757) 966-2805

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.

JAMIE KATE DIAMOND NP
Nurse Practitioner (Psychiatric/Mental Health)
409 BIRDNECK CIR
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 385-6910
BROOKE AUSTIN HOLCOMB PMH-RN, BC
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
409 BIRDNECK CIR
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 385-0511
MR. JOHN LINWOOD HINES II CSAC
Counselor (Addiction (Substance Use Disorder))
409 BIRDNECK CIR
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 385-6932
MS. THERESA K. NEWMAN LPC
Counselor (Mental Health)
409 BIRDNECK CIR
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 385-6955

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 Krystelle Roldan's NPI number?

The NPI number for Krystelle Roldan is 1508695917. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Krystelle Roldan located?

Krystelle Roldan practices at 409 Birdneck Cir, Virginia Beach, VA 23451. The listed phone number is (757) 385-6950.

What is Krystelle Roldan's specialty?

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

Is Krystelle Roldan enrolled in Medicare?

Yes. Krystelle Roldan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystelle Roldan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystelle Roldan reassigns Medicare benefits to Western Tidewater Community Mental (Suffolk, 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 Krystelle Roldan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystelle Roldan accept?

Health plans from Oscar Health list Krystelle Roldan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystelle Roldan was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.