Kyle Calhoun, LPC
Individual provider Active NPI Professional Counselor · Ferrum, VA
NPI 1255974853 · NPPES record last updated Oct 26, 2019
Key facts
- NPI
- 1255974853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701008052 (VA)
- Practice address
- 452 Henry Rd
Ferrum, VA 24088-3057 - Phone
- (919) 609-6586
- NPI assigned
- Oct 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Liberty Univ College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thrive Counseling LLC
Practice addresses (Care Compare)
3235 Electric Rd
Suite 1a
Roanoke, VA 24018-6404
Phone (855) 284-7483
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 |
|---|---|---|---|---|
| I20240131004887 | VA | Practitioner - Mental Health Counselor | 6305299819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008052 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Single Specialty | Current |
Accepting new patients |
| Wildwood Christian Counseling Corporation | Single Specialty | Current |
Accepting new patients |
Locations
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
3235 Electric Rd
Ste 1A
Roanoke, VA 24018
Phone (540) 210-1379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0701008052 | VA | Yes |
Addresses
Primary practice location
452 Henry Rd
Ferrum, VA 24088-3057
Mailing address
452 Henry Rd
Ferrum, VA 24088-3057
Phone (919) 609-6586
Other providers in Ferrum, VA
- Kelsey Baugher
- Emily Kaye Blalock
- Joshua M Bradley
- Jeremiah W Burkhart
- Brittany K Butler
- Brittany M Cockram
- Gabriel Lee Edmondson
- Family Preservation Services, Inc
- Ferrum College
- Martha Haley-Bowling
All providers in Ferrum, 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 Oct 26, 2019. 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.