Individual provider Active NPI

Christina Kincaid

  • Professional Counselor
  • Huntington, WV
National Provider Identifier
1205653151
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
744 4TH Ave Ste 200
Huntington, WV 25701-1545
Phone
(304) 691-0873
Fax
(304) 955-9057
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X WV Primary

Addresses

Primary practice location

744 4TH Ave Ste 200
Huntington, WV 25701-1545

Mailing address

744 4TH Ave Ste 200
Huntington, WV 25701-1545
Phone (304) 691-0873

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250212000360 WV Practitioner - Mental Health Counselor 2062942634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graceway Counseling Services LLCGroup PAC ID 2264894963, 7 clinicians

Practice addresses (Care Compare)

744 4TH Ave
Suite 2
Huntington, WV 25701-1541
Phone (304) 691-0873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3042WVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graceway Counseling Services LLC Professional CurrentSince Dec 15, 2024 Accepting new patients

Locations

744 4th Ave
Ste 200
Huntington, WV 25701
Phone (304) 691-0873

744 4th Ave
Ste 2
Huntington, WV 25701
Phone (304) 691-0873

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1205653151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 4TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011545",
            "telephone_number": "304-691-0873",
            "fax_number": "304-955-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 4TH AVE STE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011545",
            "telephone_number": "304-691-0873",
            "fax_number": "304-955-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.