MEDICARE: KARLI COVELL M.S.ED.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor
3	101YP2500X	Professional Counselor	0701014129	VA

General Provider Information

NPI Number	:	1376232918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLI COVELL M.S.ED.

Provider Business Mailing Address
First Line	:	1318 JAMESTOWN RD STE 102
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3382
Country	:	US
Telephone Number	:	757-525-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 JAMESTOWN RD STE 102
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3382
Country	:	US
Telephone Number	:	757-758-6635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	02/04/2026

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