Active NPI
Kristen Hedrick
- Mental Health Counselor
- Farmville, VA
National Provider Identifier
1215367362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701005615
- Practice address
- 214 Bush River Dr
Farmville, VA 23901-3179 - Phone
- (434) 392-3187
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701005615 | VA | Primary |
Addresses
Primary practice location
214 Bush River Dr
Farmville, VA 23901-3179
Mailing address
341 Ca Ira Rd
Cumberland, VA 23040-2820
Phone (434) 414-2773
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005615 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Services Board | Mental Health | Past | Accepting new patients |
| Vaught Christian Counseling PC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Farmville, VA
- NPI 1528091063
Mental Health
-
- Community/Behavioral Health Agency
- Farmville, VA
- NPI 1821164583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1215367362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 CA IRA RD",
"city": "CUMBERLAND",
"state": "VA",
"postal_code": "230402820",
"telephone_number": "434-414-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 BUSH RIVER DR",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239013179",
"telephone_number": "434-392-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701005615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.