Active NPI
Kelly Marie Rivera Lewis, LMFT
- Marriage & Family Therapist
- Lynchburg, VA
National Provider Identifier
1255127098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717002392
- Practice address
- 112 Candlewood CT
Lynchburg, VA 24502-2653 - Phone
- (434) 258-0591
- NPI assigned
- Apr 17, 2025
- Last updated
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 20725 | NC | MD | Marriage & Family Therapist |
| 0717002392 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill City Counseling and Consulting, LLC | Current | Accepting new patients | |
| Garman & Proffitt Physical Therapy, Inc | Current | 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.
-
- Physical Therapist
- Lynchburg, VA
- NPI 1295826683
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lynchburg, VA
- NPI 1063069185
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.