Kristee Jo Rosenow Trumbo, LPC
Individual provider Active NPI Professional Counselor · Broadway, VA
NPI 1063812972 · NPPES record last updated Aug 27, 2014
Key facts
- NPI
- 1063812972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701005929 (VA)
- Practice address
- 362 Dorset St
Broadway, VA 22815-9485 - Phone
- (540) 246-1461
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adagio House Inc
Practice addresses (Care Compare)
1380 Blackberry LN
Rockingham, VA 22802-0901
Phone (540) 746-0345
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416004436 | VA | Practitioner - Mental Health Counselor | 9436598919 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adagio House, Inc. | Professional | Current |
Accepting new patients |
Locations
1000 Chicago Ave
Harrisonburg, VA 22802
Phone (540) 217-2311
1380 Blackberry Ln
Rockingham, VA 22802
Phone (540) 534-4539
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005929 | VA | Yes |
Addresses
Primary practice location
362 Dorset St
Broadway, VA 22815-9485
Mailing address
PO Box 594
Broadway, VA 22815-0594
Phone (540) 246-1461
Other providers in Broadway, VA
- Shenandoah Pain and Palliative Care Clinic, LLC
- Nelson Showalter
- Whitney R Simmons
- Springbrook Family Medicine
- Jeanne Marie Stutzman
- Valley Medical Supplies, LLC
- Adam M Vannortwick
- Kathryn Walkley
- Laurie M Weese
- Charles Lorell Wenger
All providers in Broadway, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.