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Ricky Donald Mitchell , CSAC, LPC

Counselor - Professional β€’ Bristol, VA

Active NPI 1457556011 Individual Practitioner Male Practitioner
Practice location in NPPES

261 North St
Bristol, VA 242013275

Call 2762545445 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

261 North St

Bristol, VA 242013275

Telephone 2762545445
Fax 2762088045
Organization at the Same NPPES Address or Phone
Fairview Housing Management Corp Facility NPI 1376064147

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 6 distinct additional practice-address records in Abingdon, VA; Bristol, VA; Clintwood, VA and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bristol and Virginia

14 active clinicians are listed under Counselor - Professional with a practice address in Bristol, VA (6,579 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bristol

7.1% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-23
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701003539
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES VA 0701003539
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
010072107 (VA)

Secondary Practice Locations

22417 Watauga Rd

Abingdon, VA 242117065

Phone: 2762545445

205 W Main St Ste 1

Abingdon, VA 242102765

Phone: 2762545445

481 Bradley St Sw

Abingdon, VA 242103051

Phone: 2762545445

3130 Lee Hwy Ste 104-105

Bristol, VA 242026025

Phone: 2762545445

1280 Browning Holw

Clintwood, VA 242286074

Phone: 2762545445

24658 Dickenson Hwy

Haysi, VA 242565003

Phone: 2762545445

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
🏒
Secondary Practice Location Registered August 23, 2024

Additional practice office at 481 Bradley St SW, Abingdon, VA 242103051

🏒
Secondary Practice Location Registered August 23, 2024

Additional practice office at 1280 Browning Holw, Clintwood, VA 242286074

🏒
Secondary Practice Location Registered August 23, 2024

Additional practice office at 24658 Dickenson Hwy, Haysi, VA 242565003

🏒
Secondary Practice Location Registered August 23, 2024

Additional practice office at 22417 Watauga Rd, Abingdon, VA 242117065

🏒
Secondary Practice Location Registered August 23, 2024

Additional practice office at 3130 Lee Hwy Ste 104-105, Bristol, VA 242026025

🏒
Secondary Practice Location Registered August 23, 2024

Additional practice office at 205 W Main St Ste 1, Abingdon, VA 242102765

πŸ“
Updated Practice Location June 04, 2024

Registered at 261 NORTH ST, BRISTOL, VA 242013275 (Tel: 2762545445)

πŸ“
Updated Business Mailing Address June 04, 2024

Registered at PO BOX 352, ABINGDON, VA 242120352 (Tel: 2762545445)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2024

Counselor (license number reported to NPPES: VA 0701003539)

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 165 GRANNYS RD, POUNDING MILL, VA 246374025 (Tel: 2769633606)

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Business Mailing Address (Initial Record) July 09, 2007

Registered at 80 WOODBRIAR ST., LEBANON, VA 24266 (Tel: 2769711488)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as RICKY MITCHELL, CSAC, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (license number reported to NPPES: VA 0701003539)

🟒
Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457556011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: August 23, 2024
Sole Proprietor: No

Mailing Address

Po Box 352

Abingdon, VA 242120352

Phone: 2762545445

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.