Individual provider Active NPI

Kristina Leigh Ward, LCSW

  • Mental Health Counselor
  • Titusville, FL
National Provider Identifier
1750505459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW 8442 Issued in FL
Practice address
5695 Windover Way
Titusville, FL 32780
Phone
(321) 267-1278
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW 8442 FL Primary

Addresses

Primary practice location

5695 Windover Way
Titusville, FL 32780

Mailing address

5695 Windover Way
Titusville, FL 32780
Phone (321) 267-1278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VA, NV, MD5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190606000988 FL Practitioner - Clinical Social Worker 8022341031 Reassigns benefits to 1 organization
I20240620003368 DC Practitioner - Clinical Social Worker 8022341031 Reassigns benefits to 1 organization
I20240713000098 VA Practitioner - Clinical Social Worker 8022341031 Reassigns benefits to 1 organization
I20250317001518 NV Practitioner - Clinical Social Worker 8022341031 Reassigns benefits to 1 organization
I20260127001104 MD Practitioner - Clinical Social Worker 8022341031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Blue Moon Senior CounselingGroup PAC ID 6103099759, 26 clinicians
BMSC NV LLCGroup PAC ID 0042534182, 10 clinicians

Practice addresses (Care Compare)

Pikesville, MD 21208
Phone (855) 241-7160

Alexandria, VA 22315
Phone (855) 241-7160

Portsmouth, VA 23701
Phone (855) 241-7160

Portsmouth, VA 23707
Phone (855) 241-7160

5600 Hastings St
Cocoa, FL 32927-2289
Phone (855) 241-7160

8630 W Nevso Dr
Las Vegas, NV 89147-0407
Phone (702) 942-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8442FLMDMental Health Counselor
09664MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
BMSC NV LLC CurrentSince Jan 23, 2025 Accepting new patients
BMSC Az LLC CurrentSince May 10, 2024 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Interoperability endpoints

  • Direct secure messaging: kristinaward@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750505459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 WINDOVER WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-267-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 WINDOVER WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-267-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KRISTINA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW 8442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.