NPIMap

Organization Active NPI

Healing Waters Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richlands, VA
National Provider Identifier
1124329388
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING WATERS COUNSELING CENTER
Practice address
169 Suffolk Ave Ste 1
Richlands, VA 24641-2434
Phone
(276) 821-2260
NPI assigned
Nov 4, 2010
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Mr. Bradley Todd Kinder, M.S., LPC, CSACNPI 1154658854
Title
Licensed Professional Counselor
Phone
(276) 963-0111

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

169 Suffolk Ave Ste 1
Richlands, VA 24641-2434

Mailing address

PO Box 426
Cedar Bluff, VA 24609-0426
Phone (276) 963-0111

Other practice location 1

185 Redwood Ave Ste 102-B
Pennington Gap, VA 24277-0018
Phone (276) 963-0111

Other practice location 2

112 Ingham Place
Abingdon, VA 24210
Phone (276) 963-0111

Other practice location 3

1113 Cedar Valley Dr.
Cedar Bluff, VA 24609
Phone (276) 963-0111

Other practice location 4

112 E Main St
Abingdon, VA 24210-2808
Phone (276) 821-2260

Other practice location 5

106 Spring Ave NE
Wise, VA 24293-7527
Phone (276) 821-2260

Other practice location 6

510 W Main St
Wytheville, VA 24382-2209
Phone (276) 821-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120522001002 VA Part B Supplier - Clinic/Group Practice 9931362399 Receives reassigned benefits from 26 practitioners
Practice locations: Abingdon, VA; Cedar Bluff, VA; Lebanon, VA; Wise, VA; Wytheville, VA

National Provider Directory

National Provider Directory

Locations

185 Redwood Ave
Ste 102B
Pennington Gap, VA 24277
Phone (276) 963-0111

169 Suffolk Ave
Ste 1
Richlands, VA 24641
Phone (276) 821-2260

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1124329388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090426",
            "telephone_number": "276-963-0111",
            "fax_number": "276-963-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SUFFOLK AVE STE 1",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412434",
            "telephone_number": "276-821-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Redwood Ave Ste 102-B",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242770018",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "fax_number": "276-963-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Ingham Place",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "24210",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "fax_number": "276-321-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Cedar Valley Dr.",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "24609",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "fax_number": "276-963-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E Main St",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102808",
            "country_code": "US",
            "telephone_number": "276-821-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Spring Ave NE",
            "address_purpose": "LOCATION",
            "city": "Wise",
            "state": "VA",
            "postal_code": "242937527",
            "country_code": "US",
            "telephone_number": "276-821-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243822209",
            "country_code": "US",
            "telephone_number": "276-821-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING WATERS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "276-963-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.