Individual provider Active NPI

Kristen Iler, LPC

  • Professional Counselor
  • Salem, VA
National Provider Identifier
1104585728
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010976 Issued in VA
Practice address
508 E Main St Ste 500
Salem, VA 24153-4325
Phone
(540) 375-7307
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010976 VA Primary

Addresses

Primary practice location

508 E Main St Ste 500
Salem, VA 24153-4325

Mailing address

5656 Spring Meadow Dr
Roanoke, VA 24018-3899
Phone (540) 314-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240317000038 VA Practitioner - Mental Health Counselor 4880030576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Brief Therapy, Inc.Group PAC ID 3971654005, 13 clinicians

Practice addresses (Care Compare)

400 E Burwell St
Suite B
Salem, VA 24153-4329
Phone (540) 772-8043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701010976VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Brief Therapy, Inc. Professional CurrentSince Feb 3, 2024 Accepting new patients

Locations

4346 Starkey Rd
Ste 1
Roanoke, VA 24018

400 E Burwell St
Ste B
Salem, VA 24153
Phone (540) 375-7307

400 E Burwell St
Salem, VA 24153
Phone (540) 387-3105

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1104585728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 SPRING MEADOW DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183899",
            "telephone_number": "540-314-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E MAIN ST STE 500",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534325",
            "telephone_number": "540-375-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILER",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.