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Kelley Nicole Kinder , LPC

Counselor - Professional β€’ Cedar Bluff, VA

Active NPI 1184762452 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1113 Cedar Valley Dr
Cedar Bluff, VA 246099190

Call 2769630111 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

1113 Cedar Valley Dr

Cedar Bluff, VA 246099190

Telephone 2769630111
Fax 2769630005
Organization at the Same NPPES Address or Phone
Healing Waters Counseling Center Facility NPI 1124329388

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 2 distinct additional practice-address records in Abingdon, VA; Gate City, VA. See the list

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

CMS Doctors and Clinicians lists 1 group name: Healing Waters Counseling Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Kelley Kinder has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kelley Kinder as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cedar Bluff and Virginia

41 active clinicians are listed under Counselor - Professional with a practice address in Cedar Bluff, VA (6,481 in Virginia).

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

Telehealth indicator in Cedar Bluff

7.3% of these 41 clinicians have the CMS telehealth indicator.

19.5% of these 41 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: 2026-03-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701008209
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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240219003845

Enrollment State Jurisdiction

VA

PECOS Control ID

2062856958

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Healing Waters Counseling Center

1113 Cedar Valley Dr, Cedar Bluff, VA 246099190

Phone: 2769630111

Secondary Practice Locations

188 E Main St Ste 1a

Abingdon, VA 242102857

Phone: 2762893003

Rt 6 Box 540

Gate City, VA 24251

Phone: 2764521144

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Kimberly Bryant , LCSW

Social Worker - Clinical

NPI 1922740125

Licensed Clinical Social Worker

Erin Crane , PMHNP-BC

Registered Nurse - Psychiatric/Mental Health

NPI 1528644184

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Tauna Gulley , PhD, FNP, MSN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1477951515

Doctor of Philosophy (Ph.D.), Family Nurse Practitioner, Master of Science in Nursing

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Business Mailing Address March 30, 2026

Registered at 201 E MAIN ST STE 203, ABINGDON, VA 242102903 (Tel: 2762893003)

πŸ“
Updated Practice Location September 17, 2019

Registered at 1113 CEDAR VALLEY DR, CEDAR BLUFF, VA 246099190 (Tel: 2769630111)

πŸ“
Updated Business Mailing Address September 17, 2019

Registered at PO BOX 426, CEDAR BLUFF, VA 246090426 (Tel: 2769630111)

πŸ‘€
Provider Name / Credentials Updated September 17, 2019

Recorded as KELLEY KINDER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2019

Counselor (license number reported to NPPES: VA 0701008209)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at RT 6 BOX 540, GATE CITY, VA 24251 (Tel: 2764521144)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 9054, GRAY, TN 376159054 (Tel: 4234673600)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KELLEY NELSON, BS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184762452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: March 30, 2026
Sole Proprietor: No

Other Counselor - Professionals in Cedar Bluff

Mailing Address

201 E Main St Ste 203

Abingdon, VA 242102903

Phone: 2762893003

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.