Kelley Nicole Kinder, LPC in Cedar Bluff, VA - Medicare Counselor Provider

Kelley Nicole Kinder, LPC is a medicare enrolled "Counselor - Professional" provider in Cedar Bluff, Virginia. Her current practice location is 1113 Cedar Valley Dr, Cedar Bluff, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 963-0111.

Kelley Nicole Kinder is licensed to practice in Virginia (license number 0701008209) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184762452.

Contact Information

	Kelley Nicole Kinder, LPC
	1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190
	(276) 963-0111
	(276) 963-0005

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Nicole Kinder
Gender	Female
Speciality	Counselor - Professional
Location	1113 Cedar Valley Dr, Cedar Bluff, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184762452
Provider Enumeration Date: 02/01/2007
Last Update Date: 09/17/2019

Medicare PECOS Information:

PECOS PAC ID: 2062856958
Enrollment ID: I20240219003845

Medical Identifiers

Medical identifiers for Kelley Nicole Kinder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184762452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701008209 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelley Nicole Kinder allows following entities to bill medicare on her behalf.

Entity Name	Healing Waters Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124329388 PECOS PAC ID: 9931362399 Enrollment ID: O20120522001002

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Nicole Kinder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelley Nicole Kinder, LPC Po Box 426, Cedar Bluff, VA 24609-0426 Ph: (276) 963-0111	Kelley Nicole Kinder, LPC 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 Ph: (276) 963-0111

Reviews and Comments

Counselor in Cedar Bluff, VA

Alissa Joi Deel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Road, Cedar Bluff, VA 24609 Phone: 276-964-6702 Fax: 276-964-0292
Mrs. Karen Yvonne Waldron, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Rd, Cedar Bluff, VA 24609 Phone: 276-963-3554
Matt Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Rd, Cedar Bluff, VA 24609 Phone: 276-963-3554 Fax: 276-963-4653
Jennifer Robin Sword, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Road, Cedar Bluff, VA 24609 Phone: 276-964-6702 Fax: 276-964-0292
Gretchen Anne Blevins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Cumberland Rd, Cedar Bluff, VA 24609 Phone: 276-964-6702
Mrs. Tamara Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Road, Cedar Bluff, VA 24609 Phone: 276-963-3554
Michaela Afton Barnes, Counselor Medicare: Medicare Enrolled Practice Location: 111 Town Hollow Rd., Cedar Bluff, VA 24609 Phone: 276-963-3554

Kelley Nicole Kinder, LPC - Medicare Counselor in Cedar Bluff, VA