Individual provider Active NPI

Kierra Whitman, LPC

  • Mental Health Counselor
  • Martinsburg, WV
National Provider Identifier
1124628151
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2549 Issued in WV
Practice address
101 Medical CT Ste 108
Martinsburg, WV 25401-3854
Phone
(304) 268-5330
Fax
(304) 512-3388
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2549 WV Primary

Addresses

Primary practice location

101 Medical CT Ste 108
Martinsburg, WV 25401-3854

Mailing address

101 Medical CT Ste 108
Martinsburg, WV 25401-3854
Phone (304) 268-5330

Other names 1

  • Kierra Coles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2549WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Peaces LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

179 E Burr Blvd
Ste K
Kearneysville, WV 25430

179 E Burr Blvd
Ste L
Kearneysville, WV 25430
Phone (304) 268-5330

101 Medical Ct
Ste 108
Martinsburg, WV 25401
Phone (304) 268-5330

630 Winchester Ave
Ste B
Martinsburg, WV 25401

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1124628151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL CT STE 108",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013854",
            "telephone_number": "304-268-5330",
            "fax_number": "304-512-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL CT STE 108",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013854",
            "telephone_number": "304-268-5330",
            "fax_number": "304-512-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "KIERRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIERRA",
            "last_name": "COLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.