Individual provider Active NPI

Kirsten Boye Herman, RN, LPC

  • Professional Counselor
  • Radford, VA
National Provider Identifier
1477653426
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002409 Issued in VA
Practice address
600 E Main St Ste C
Radford, VA 24141-1826
Phone
(540) 731-0838
Fax
(540) 731-3375
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002409 VA Primary

Addresses

Primary practice location

600 E Main St Ste C
Radford, VA 24141-1826

Mailing address

600 E Main St Ste C
Radford, VA 24141-1826
Phone (540) 731-0838

Other identifiers 4

IdentifierTypeStateIssuer
5401551MedicaidVA
517026OtherVALUE OPTIONS
086759OtherSENTARA
281760OtherBCBS

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
I20240412004225 VA Practitioner - Mental Health Counselor 0941649701 Practice locations: Radford, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 E Main St
Suite C
Radford, VA 24141-1826
Phone 54073108381826

6580 Valley Ctr Dr
Suite 320
Fairlawn, VA 24141-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1477653426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST STE C",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411826",
            "telephone_number": "540-731-0838",
            "fax_number": "540-731-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST STE C",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411826",
            "telephone_number": "540-731-0838",
            "fax_number": "540-731-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "KIRSTEN",
        "middle_name": "BOYE",
        "name_prefix": "Ms.",
        "credential": "RN, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5401551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "517026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "086759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "281760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.