Individual provider Active NPI

Tristin Federice

  • Mental Health Counselor
  • Palmyra, VA
National Provider Identifier
1134873409
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701014778
Practice address
86 Joshua LN
Palmyra, VA 22963-6208
Phone
(434) 207-2554
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 0701014778 Primary

Addresses

Primary practice location

86 Joshua LN
Palmyra, VA 22963-6208

Mailing address

23 Fairwood PL
Palmyra, VA 22963-2765

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

Practice roles

OrganizationSpecialtyStatusNew patients
Byam Counseling LLC Mental Health CurrentSince Apr 20, 2025 Accepting new patients
Christine Bowers LMFT, LLC Counselor PastSince Feb 1, 2022 Accepting new patients

Locations

86 Joshua Ln
Palmyra, VA 22963
Phone (434) 207-2155

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1134873409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FAIRWOOD PL",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 JOSHUA LN",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229636208",
            "telephone_number": "434-207-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICE",
        "first_name": "TRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "0701014778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.