Individual provider Active NPI

Andrea K Kilgore

  • Professional Counselor
  • Danville, VA
National Provider Identifier
1639717564
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0709024182 Issued in VA
Practice address
1555 Meadowview Dr Ste 7
Danville, VA 24541-7352
Phone
(866) 866-9277
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 0709024182 VA Primary

Addresses

Primary practice location

1555 Meadowview Dr Ste 7
Danville, VA 24541-7352

Mailing address

55 Beattie PL Ste 810
Greenville, SC 29601-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0709024182VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. Professional CurrentSince Jun 23, 2020 Accepting new patients

Locations

55 Beattie Pl
Ste 810
Greenville, SC 29601
Phone (864) 527-3145

1555 Meadowview Dr
Ste 7
Danville, VA 24541
Phone (434) 333-6923

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1639717564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEATTIE PL STE 810",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MEADOWVIEW DR STE 7",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245417352",
            "telephone_number": "866-866-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "ANDREA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0709024182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.