Kelley Nicole Kinder, LPC
Individual provider Active NPI Professional Counselor · Cedar Bluff, VA
NPI 1184762452 · NPPES record last updated Mar 30, 2026
Key facts
- NPI
- 1184762452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701008209 (VA)
- Practice address
- 1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190 - Phone
- (276) 963-0111
- Fax
- (276) 963-0005
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healing Waters Counseling Center
The Brain Clinic LLC
Practice addresses (Care Compare)
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (276) 963-0111
188 E Main St
Suite 1a
Abingdon, VA 24210-2857
Phone (276) 289-3003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219003845 | VA | Practitioner - Mental Health Counselor | 2062856958 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008209 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brain Clinic LLC | Current |
Accepting new patients | |
| NP Partners L.L.C. | Past |
Accepting new patients |
Locations
201 E Main St
Ste 203
Abingdon, VA 24210
Phone (276) 289-3003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008209 | VA | Yes |
Addresses
Primary practice location
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Mailing address
201 E Main St Ste 203
Abingdon, VA 24210-2903
Phone (276) 289-3003
Other practice location 1
188 E Main St Ste 1A
Abingdon, VA 24210-2857
Phone (276) 289-3003
Other practice location 2
Rt 6 Box 540
Gate City, VA 24251
Phone (276) 452-1144
Other names
- Kelley Nicole Stewart
Other providers in Cedar Bluff, VA
- K VA T Food Stores Inc
- Kaitlyn Ogden Keen
- Mary K Keene
- Lindsey Wallace Kegley
- Jonathon Kinder
- Lara Elaine Kiser
- Samantha Rose Kramer
- Kelley Lambert
- Lauren Michelle Lester
- Priscilla Sue Lester
All providers in Cedar Bluff, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.