Kristyna Lea Lathem, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704014392 Issued in VA

Practice address

135 Scenic View Cir
Wytheville, VA 24382-1319

Phone

(540) 838-5000

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rediscover Yourself Counseling Services, LLC

  • Professional Counselor
  • Wytheville, VA
  • NPI 1639957830
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1144937129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SCENIC VIEW CIR",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821319",
            "telephone_number": "540-838-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SCENIC VIEW CIR",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821319",
            "telephone_number": "540-838-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHEM",
        "first_name": "KRISTYNA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014392",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC4124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Porter Kirby, LPC
• Kimberly Kosa
• Amanda Dawn Lambert, SLP
• James Brandon Lambert, LPC
• Mark Timothy Larsen, LPC
• Cristina M Lecaros-Trinidad, M.D,
• LHCG Cxxvii, LLC
• Meghan Lineberry
• Tara Brewster Lineberry, LCSW
• Jennifer Lynn Long, MOT

• Mental Health Counselor in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.