Kristen Thompson Edwards, Ph.D, LPC
Counselor, Professional in Big Stone Gap, VA. Individual provider (NPI-1).
NPI number1487329686
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1487329686
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kristen Thompson Edwards
- Credential
- Ph.D, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2021
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701013661 | VA | Yes |
| 101YM0800X | Counselor, Mental Health | 4824 | TN |
Other names
- Kristen Thompson (Former Name)
Practice location
622 6th Ave EBig Stone Gap, VA 24219-2408
Phone 423-833-8120
Mailing address
622 6th Ave EBig Stone Gap, VA 24219-2408
Phone 423-833-8120
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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