Lacee Nicole Kidwell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

703 A South Washington St.
Berkeley Springs, WV 25411

Phone

(304) 582-1993

NPI assigned

May 20, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1578201513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 A SOUTH WASHINGTON ST.",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-582-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 A SOUTH WASHINGTON ST.",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-582-1993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N George St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254141574",
            "country_code": "US",
            "telephone_number": "681-252-1632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "LACEE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ronald Jury, PHARMD
• Sandra Kaye, LPC MS
• Victoria E Keefer
• Tamara Kees
• Isabel N Kerns
• Teresa D Kile
• Jakob Skott King
• Kelley R Kyne
• Sallie Labarr
• Linda M Lafollette

• Mental Health Counselor in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.