LAURA KANGELARIS
NPI 1891446084
Marriage & Family Therapist in Woodbridge, VA

Q: What is Laura Kangelaris's NPI number?

The NPI number for Laura Kangelaris is 1891446084. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Laura Kangelaris's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Laura Kangelaris enrolled in Medicare?

No. Laura Kangelaris has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Laura Kangelaris was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 10, 2022Opted out of Medicare · through Feb 29, 2028

12751 MARBLESTONE DR STE 200, WOODBRIDGE, VA 22192(703) 878-3290 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Laura Kangelaris NPPES

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

LAURA KANGELARIS (NPI 1891446084) is an individual marriage & family therapist in Woodbridge, Virginia, licensed in Virginia (0730000438) and active in the NPI registry since January 2022. She has opted out of Medicare through February 29, 2028.

NPPES Registry Identity

NPI1891446084

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLAURA KANGELARIS

Location Address12751 MARBLESTONE DR STE 200Woodbridge, VA 22192-8337

Mailing Address12751 Marblestone Dr Ste 200Woodbridge, VA 22192-8337

Phone(703) 878-3290

Sole ProprietorNo

Enumeration DateJanuary 10, 2022

NPPES CertifiedJanuary 10, 2022

✔ NPI 1891446084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in VA · 0730000438

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

12751 MARBLESTONE DR STE 200, Woodbridge, VA 22192

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Kangelaris has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2024 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2024

Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

CHRISTOPHER JOSEPH THOMAS

Counselor