Individual provider Active NPI

Kelly Marie Rivera Lewis, LMFT

  • Marriage & Family Therapist
  • Lynchburg, VA
National Provider Identifier
1255127098
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717002392 Issued in VA
Practice address
112 Candlewood CT
Lynchburg, VA 24502-2653
Phone
(434) 258-0591
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717002392 VA Primary
Marriage & Family Therapist 106H00000X 20725 NC

Addresses

Primary practice location

112 Candlewood CT
Lynchburg, VA 24502-2653

Mailing address

104 Maple Hills Dr Unit B
Lynchburg, VA 24502-4420
Phone (614) 306-0694

Other names 1

  • Kelly Marie Lewis Former name

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

LicenseStateTypeSpecialty
20725NCMDMarriage & Family Therapist
0717002392VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill City Counseling and Consulting, LLC CurrentSince Apr 20, 2025 Accepting new patients
Garman & Proffitt Physical Therapy, Inc CurrentSince Apr 20, 2025 Accepting new patients

Locations

112 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 258-0591

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1255127098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAPLE HILLS DR UNIT B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024420",
            "telephone_number": "614-306-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CANDLEWOOD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022653",
            "telephone_number": "434-258-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LEWIS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002392",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LEWIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.