Ms Kisha Wynnette Mickens, LPC is a medicare enrolled "Counselor - Professional" provider in West Point, Virginia. She graduated from healthcare school in 2006 and has 19 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Colonial Behavioral Health and her current practice location is
3210 Mattaponi Ave, West Point, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 767-0973.
Ms Kisha Wynnette Mickens is licensed to practice in Virginia (license number 0701012722) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447933973.
Healthcare Provider's Profile
| Full Name | Ms Kisha Wynnette Mickens |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 19 Years |
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| Location | 3210 Mattaponi Ave, West Point, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Kisha Wynnette Mickens graduated from medical school in 2006
NPI Data:
- NPI Number: 1447933973
- Provider Enumeration Date: 08/10/2023
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133579014
- Enrollment ID: I20231219003047
Medical Identifiers
Medical identifiers for Ms Kisha Wynnette Mickens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447933973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 0701012722 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Colonial Behavioral Health | 7012010549 | 15 |
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. Ms Kisha Wynnette Mickens allows following entities to bill medicare on her behalf.
| Entity Name | Colonial Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760565915 PECOS PAC ID: 7012010549 Enrollment ID: O20070716000744 |
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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. Ms Kisha Wynnette Mickens 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 |
Ms Kisha Wynnette Mickens, LPC 3210 Mattaponi Ave, West Point, VA 23181-9307 Ph: (804) 767-0973 | Ms Kisha Wynnette Mickens, LPC 3210 Mattaponi Ave, West Point, VA 23181-9307 Ph: (804) 767-0973 |
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