Active NPI
Kristina Sipes Richmond, MS
- Mental Health Counselor
- Keyser, WV
National Provider Identifier
1972751121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 130 Center St
Keyser, WV 26726-3520 - Phone
- (304) 788-1113
- NPI assigned
- Aug 29, 2008
- Last updated
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
130 Center St
Keyser, WV 26726-3520
Mailing address
130 Center St
Keyser, WV 26726-3520
Phone (304) 788-1113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Ctr St
Keyser, WV 26726-3520
Phone (304) 788-1113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain State Psychological Services, PLLC | Current | Accepting new patients |
Locations
130 Center St
Keyser, WV 26726
Phone (304) 788-1113
Organizations & group practices 1
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.
-
- Intellectual & Developmental Disabilities Psychologist
- Keyser, WV
- NPI 1326117409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1972751121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CENTER ST",
"city": "KEYSER",
"state": "WV",
"postal_code": "267263520",
"telephone_number": "304-788-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CENTER ST",
"city": "KEYSER",
"state": "WV",
"postal_code": "267263520",
"telephone_number": "304-788-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "KRISTINA",
"middle_name": "SIPES",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.