Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Khilia Tyese Giacobone, PHD, LPC, CSOTP

Individual provider Professional Counselor · NPI 1902628126

Dr. Khilia Tyese Giacobone, PHD, LPC, CSOTP is a Mental Health Counselor in Mechanicsville, Virginia. Qualified in 2022, 4 years ago. Practices with Youth for Tomorrow New Life Center Inc, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
4
Licensed in
DC, VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 337
Mechanicsville, VA 23111-0337
Phone: (804) 306-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 546 Walnut Grove Dr, Jarratt, VA 23867-8611 — (804) 306-1790

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701011919 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence PRC15359 (DC)

Record details

NPI number1902628126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC , CSOTP
Sole proprietorYes
NPI enumeratedOctober 29, 2024
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Youth For Tomorrow New Life Center Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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