Individual provider Active NPI

Kristian Patrick Delaney, MS, LPC

  • Professional Counselor
  • Abingdon, VA
National Provider Identifier
1902944663
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008289 Issued in VA
Practice address
966 W Main St Ste 1
Abingdon, VA 24210-2483
Phone
(276) 207-8321
Fax
(888) 548-4146
NPI assigned
Feb 2, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701008289 VA
Professional Counselor 101YP2500X 0701008289 VA Primary

Addresses

Primary practice location

966 W Main St Ste 1
Abingdon, VA 24210-2483

Mailing address

966 W Main St Ste 1
Abingdon, VA 24210-2483
Phone (276) 207-8321

Other practice location 1

610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1550

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

LicenseStateTypeSpecialty
0701008289VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Star LLC Professional Current Accepting new patients
Southwest Emdr Therapy LLC Current Accepting new patients
Frontier Health Past Accepting new patients
Hope and Healing Center LLC Professional PastSince Oct 1, 2022 Accepting new patients

Locations

966 W Main St
Ste 1
Abingdon, VA 24210
Phone (276) 207-8321

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1902944663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-207-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-207-8321",
            "fax_number": "888-548-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102589",
            "country_code": "US",
            "telephone_number": "276-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "KRISTIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701008289",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.