Kristy Lynn Walker, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010872 Issued in VA

Practice address

1009 W State St Ste 302
Bristol, VA 24201-3823

Phone

(276) 696-1799

Fax

(276) 444-8821

NPI assigned

Dec 8, 2021

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restorative Mind Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bristol, VA
  • NPI 1679282073
  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1326707209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W STATE ST STE 302",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013823",
            "telephone_number": "276-409-9083",
            "fax_number": "276-444-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W STATE ST STE 302",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013823",
            "telephone_number": "276-696-1799",
            "fax_number": "276-444-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010872",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.restorativemindcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Contact form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted secured form",
            "address_1": "1009 W State St Ste 302",
            "city": "Bristol",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242013823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Samantha Ratliff Wampler, MS CCC SLP
• Washington Co Health Dept Dental Clinic
• Washington County Fire Rescue 1 Inc.
• Benjamin Keith Watkins
• Jessica Anne Watkins, FNP-BC

• Professional Counselor in Bristol, VA
• Providers in Bristol, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.