Individual provider

Kerry Kruk-borisov, LPC, ATR-BC, CSAC

Professional Counselor Addiction (Substance Use Disorder) Counselor Art Therapist Medicare enrolled

Kerry Kruk-borisov, LPC, ATR-BC, CSAC is a Professional Counselor in Norfolk, VA, registered under NPI 1316390420. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2200 COLONIAL AVE STE 12, Norfolk, VA 23517. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2200 COLONIAL AVE STE 12, Norfolk, VA 23517 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0701005892 VA Professional Counselor primary
0710102187 VA Addiction (Substance Use Disorder)…
0701005892 VA Art Therapist

This provider holds licence 0701005892 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
2163951054
Enrollment ID
I20250122001162

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 0701005892 VA primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 0710102187 VA
221700000X Art Therapist 0701005892 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1316390420 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 14, 2016
Last updatedOct 19, 2023
StatusActive
Sole proprietorNo
CredentialLPC, ATR-BC, CSAC
Practice address 2200 COLONIAL AVE STE 12
Norfolk, VA 23517
(757) 937-5780
Mailing address 3140 HERBERT ST
Norfolk, VA 23513
This record was updated on Oct 19, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1316390420 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 1 6 3 9 0 4 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 2 6 6 9 0 4 4

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1316390420?
NPI 1316390420 is the National Provider Identifier assigned to Kerry Kruk-borisov, LPC, ATR-BC, CSAC in Norfolk, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Kerry Kruk-borisov, LPC, ATR-BC, CSAC?
The phone number on file with NPPES is (757) 937-5780, last updated Oct 19, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kerry Kruk-borisov, LPC, ATR-BC, CSAC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1316390420 a valid number?
Yes. 1316390420 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.