Kennedy Delesdernier, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701014567 Issued in VA

Practice address

12300 Washington Hwy
Ashland, VA 23005-7646

Phone

(804) 365-4256

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanover County Board of SupervisorsGroup PAC ID 8527968742, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653
  Medicare reassignment Care Compare group NPD
• Hanover County Board of Supervisors

  dba Hanover Fire EMS

  • Ambulance
  • Hanover, VA
  • NPI 1245275403
  NPD

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1326844820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16060 GEESE LAKE LN",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922312",
            "telephone_number": "804-839-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "804-365-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELESDERNIER",
        "first_name": "KENNEDY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a. Haine, O.D. P.C. (AShland Eye Care Center)
• Katherine Duncan Davis, OTR/L
• Kathryn Meghann Davis, LCSW
• Dca of Ashland LLC (US Renal Care Ashland Dialysis)
• Michael Deal, PT, DPT
• Rodney D Diehl, LCSW
• Dimension Youth Services Inc.
• Dimension Youth Services Inc.
• Dimension Youth Services Inc.
• Casey J Wozniak Dorosky, M.S.ED.,CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.