Individual provider Active NPI

Cristen Nicole McKenna, BSW, CSAC-SUPERVISEE

  • Addiction (Substance Use Disorder) Counselor
  • Danville, VA
National Provider Identifier
1730910001
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1555 Meadowview Dr Ste 5-6
Danville, VA 24541-7351
Phone
(800) 805-6989
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1555 Meadowview Dr Ste 5-6
Danville, VA 24541-7351

Mailing address

1555 Meadowview Dr Ste 5-6
Danville, VA 24541-7351
Phone (800) 805-6989

Other practice location 1

445 Commonwealth Blvd E Ste B
Martinsville, VA 24112-2087
Phone (800) 805-6989

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250311001678 VA Practitioner - Mental Health Counselor 4789105495 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. CurrentSince Oct 18, 2024 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Oct 18, 2024 Accepting new patients
Virginia Treatment Center of Lynchburg PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

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

2203 Graves Mill Rd
Forest, VA 24551

2250 Murrell Rd
Lynchburg, VA 24501
Phone (434) 444-9902

2250 Murrell Rd
Ste B
Lynchburg, VA 24501

445 Commonwealth Blvd E
Ste B
Martinsville, VA 24112
Phone (276) 632-3841

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

Organizations & group practices 3

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1730910001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MEADOWVIEW DR STE 5-6",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245417351",
            "telephone_number": "800-805-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MEADOWVIEW DR STE 5-6",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245417351",
            "telephone_number": "800-805-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Commonwealth Blvd E Ste B",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241122087",
            "country_code": "US",
            "telephone_number": "800-805-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CRISTEN",
        "middle_name": "NICOLE",
        "credential": "BSW, CSAC-SUPERVISEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.