Kristin Marie Vitko, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701005638 Issued in VA

Practice address

1900 Byrd Ave
Richmond, VA 23230-3033

Phone

(919) 428-7209

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Bird Vitko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 20, 2024 through Sep 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richmond Creative Counseling

  • Adult Mental Health Clinic/Center
  • North Chesterfield, VA
  • NPI 1285322628
  NPD (past)
• Richmond Creative Counseling, LLC

  • Professional Counselor
  • Richmond, VA
  • NPI 1689016735
  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1780836510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 SABLE RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331654",
            "telephone_number": "919-428-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "919-428-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITKO",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2022-05-03",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7167",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIRD",
            "last_name": "VITKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vitalcore Wellness & Diagnostics LLC
• Vitality NP Group LLC
• Vitas Healthcare Corporation Atlantic
• Anthony F. Vitiello, PH.D.
• Christine Vitiello, OT
• Christina Marie Vitto, M.D.
• Michael J Vitto, DO
• Vituity-Virginia Hospitalists PC
• Viva Richmond LLC
• Kimberly Butler Vivaldi, FNP

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.