Organization Active NPI

Kindle Hope Integrative Change Therapy, LLC

  • Mental Health Counselor
  • Elkins, WV
National Provider Identifier
1679458863
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KINDLE HOPE INTEGRATIVE CHANGE THERAPY, LLC
Practice address
310 S Randolph Ave
Elkins, WV 26241-3741
Phone
(304) 635-8311
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Katherine W HeatherlyNPI 1619529534
Title
Owner
Phone
(304) 635-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

310 S Randolph Ave
Elkins, WV 26241-3741

Mailing address

310 S Randolph Ave
Elkins, WV 26241-3741

National Provider Directory

National Provider Directory

Locations

310 S Randolph Ave
Elkins, WV 26241
Phone (304) 635-8311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1679458863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S RANDOLPH AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413741",
            "telephone_number": "304-635-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDLE HOPE INTEGRATIVE CHANGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HEATHERLY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-635-8311"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.