Organization Active NPI

KS Cundiff Mental Health Services LLC

  • Marriage & Family Therapist
  • Roanoke, VA
National Provider Identifier
1083360465
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KS CUNDIFF MENTAL HEALTH SERVICES LLC
Practice address
4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605
Phone
(540) 772-8043
Fax
(540) 772-8242
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Scott Cundiff, LMFTNPI 1013433531
Title
Licensed Marriage & Family Therapis
Phone
(540) 772-8043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605

Mailing address

4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605
Phone (540) 772-8043

Other identifiers 1

IdentifierTypeStateIssuer
1013433531MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1083360465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-772-8043",
            "fax_number": "540-772-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-772-8043",
            "fax_number": "540-772-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS CUNDIFF MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPIS",
        "authorized_official_telephone_number": "540-772-8043",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013433531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.