Active NPI
Kindra Stephens, M.S., LPC
- Professional Counselor
- North Chesterfield, VA
National Provider Identifier
1760995211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007124
- Practice address
- 4222 Bonniebank Rd
North Chesterfield, VA 23234-6602 - Phone
- (757) 633-2661
- NPI assigned
- Nov 7, 2017
- Last updated
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007124 | VA | Primary |
Addresses
Primary practice location
4222 Bonniebank Rd
North Chesterfield, VA 23234-6602
Mailing address
3900 Chesdin Blvd
Sutherland, VA 23885-9577
Phone (757) 633-2661
Other names 1
- Kindra Walton
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007124 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1760995211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 CHESDIN BLVD",
"city": "SUTHERLAND",
"state": "VA",
"postal_code": "238859577",
"telephone_number": "757-633-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 BONNIEBANK RD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232346602",
"telephone_number": "757-633-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KINDRA",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KINDRA",
"last_name": "WALTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.