Individual provider Active NPI

Kristyn Jena Hunter, LMHP-S

  • Student in an Organized Health Care Education/Training Program
  • Ruther Glen, VA
National Provider Identifier
1386304020
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
19519 Jefferson Davis Hwy
Ruther Glen, VA 22546-2962
Phone
(804) 373-2705
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

19519 Jefferson Davis Hwy
Ruther Glen, VA 22546-2962

Mailing address

PO Box 117
Ladysmith, VA 22501-0117

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250321003632 VA Practitioner - Clinical Social Worker 6709308471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rappahannock Area Community Services BoardGroup PAC ID 8123016318, 39 clinicians

Practice addresses (Care Compare)

600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Area Community Services Board CurrentSince Feb 26, 2025 Accepting new patients

Locations

600 Jackson St
Fredericksburg, VA 22401
Phone (540) 373-3223

Organizations & group practices 1

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1386304020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "LADYSMITH",
            "state": "VA",
            "postal_code": "225010117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19519 JEFFERSON DAVIS HWY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462962",
            "telephone_number": "804-373-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "KRISTYN",
        "middle_name": "JENA",
        "credential": "LMHP-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

Verify at the official NPI Registry.