Kristen Thompson Edwards, PH.D, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013661 Issued in VA

Practice address

622 6TH Ave E
Big Stone Gap, VA 24219-2408

Phone

(423) 833-8120

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bristol, VA
  • NPI 1730756131
  NPD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

• Mrs. Kristen Thompson Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2025.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1487329686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 6TH AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192408",
            "telephone_number": "423-833-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 6TH AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192408",
            "telephone_number": "423-833-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KRISTEN",
        "middle_name": "THOMPSON",
        "name_prefix": "Mrs.",
        "credential": "PH.D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013661",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "THOMPSON",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Smythe Dupree, RPH
• Joyce A Durham
• Scott Keith Duval
• Billy J. Earl II, NP
• Britney Rae Edmiston, NP
• Molly Ethel Edwards
• Audrianna Chantea Eldridge, BS
• Stephanie Gordon Elliott, PHARMD
• Whitney Leann Estep
• F.C. of Virginia, Inc.

• All providers in Big Stone Gap, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.