Active NPI
Kristi Michelle Emmons, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1063851178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005395
- Practice address
- 5511 Staples Mill Rd Ste 102
Richmond, VA 23228-5445 - Phone
- (804) 612-3322
- Fax
- (804) 864-1323
- NPI assigned
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005395 | VA | Primary |
Addresses
Primary practice location
5511 Staples Mill Rd Ste 102
Richmond, VA 23228-5445
Mailing address
5511 Staples Mill Rd Ste 102
Richmond, VA 23228-5445
Phone (804) 612-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2024 through Sep 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005395 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Creative Counseling, LLC | Professional | Past | Accepting new patients |
| Richmond Creative Counseling | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Wild Oaks
- Adult Mental Health Clinic/Center
- North Chesterfield, VA
- NPI 1285322628
-
- Professional Counselor
- Richmond, VA
- NPI 1689016735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1063851178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 STAPLES MILL RD STE 102",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232285445",
"telephone_number": "804-612-3322",
"fax_number": "804-864-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5511 STAPLES MILL RD STE 102",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232285445",
"telephone_number": "804-612-3322",
"fax_number": "804-864-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMONS",
"first_name": "KRISTI",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-21",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.