David P Mikkelson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001353 Issued in VA

Practice address

1800 Colby Dr
Forest, VA 24551-1872

Phone

(434) 515-1253

NPI assigned

May 1, 2013

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hill City Counseling and Consulting, LLCGroup PAC ID 7810338050, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hill City Counseling and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynchburg, VA
  • NPI 1063069185
  Medicare reassignment Care Compare group NPD
• Garman & Proffitt Physical Therapy, Inc

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1295826683
  NPD

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1730524927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 VISTA PARK DR STE A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514362",
            "telephone_number": "434-616-2388",
            "fax_number": "434-616-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLBY DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511872",
            "telephone_number": "434-515-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSON",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Timothy Mynes, D.O.)
• Deena Melika, PH.D.
• Kyle Benjamin Melunis
• Sherri L Meyer, MS, RD
• Robert Michalides
• Jennifer Miller
• Karolyn Miller, PA-C
• Katelyn Miller
• Lacey Miller
• Mindfit LLC

• Marriage & Family Therapist in Forest, VA
• Providers in Forest, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.