HEALING WATERS COUNSELING CENTER – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1124329388

HEALING WATERS COUNSELING CENTER is a healthcare provider. based in Wise, Virginia. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for HEALING WATERS COUNSELING CENTER is 1124329388

Main info

Organization
Name
HEALING WATERS COUNSELING CENTER
NPI
1124329388
Phone
(276) 821-2260
Address
106 Spring Ave NE
Authorized Official
MR. BRADLEY TODD KINDER LICENSED PROFESSIONAL COUNSELOR M.S., LPC, CSAC
Enumeration Date
4 November 2010
Last Update Date
6 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for HEALING WATERS COUNSELING CENTER

  • 106 Spring Ave NE

    Wise, VA 242937527

    Phone: (276) 821-2260

    Type: Location

  • 1113 CEDAR VALLEY DR.

    CEDAR BLUFF, VA 24609

    Phone: (276) 963-0111

    Fax: (276) 963-0005

    Type: Location

  • PO BOX 426

    CEDAR BLUFF, VA 246090426

    Phone: (276) 963-0111

    Fax: (276) 963-0005

    Type: Mailing

  • 169 SUFFOLK AVE STE 1

    RICHLANDS, VA 246412434

    Phone: (276) 821-2260

    Type: Location

  • 112 E Main St

    Abingdon, VA 242102808

    Phone: (276) 821-2260

    Type: Location

  • 185 Redwood Ave Ste 102-B

    Pennington Gap, VA 242770018

    Phone: (276) 963-0111

    Fax: (276) 963-0005

    Type: Location

  • 112 Ingham Place

    Abingdon, VA 24210

    Phone: (276) 963-0111

    Fax: (276) 321-8007

    Type: Location

  • 510 W Main St

    Wytheville, VA 243822209

    Phone: (276) 821-2260

    Type: Location

  • 1113 Cedar Valley Dr.

    Cedar Bluff, VA 24609

    Phone: (276) 963-0111

    Fax: (276) 963-0005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120522001002OClinic/Group PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24293)

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Reviews

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Frequently asked questions

How is HEALING WATERS COUNSELING CENTER identified in CMS data?
CMS-hosted NPPES data lists HEALING WATERS COUNSELING CENTER with NPI 1124329388.
Does the file indicate HEALING WATERS COUNSELING CENTER is practicing under active NPI?
Directory data currently reports HEALING WATERS COUNSELING CENTER as active.
What is HEALING WATERS COUNSELING CENTER's specialty?
The listing groups HEALING WATERS COUNSELING CENTER with Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What area does HEALING WATERS COUNSELING CENTER serve?
HEALING WATERS COUNSELING CENTER's listing highlights Wise, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
9 practice locations appear in the available data.

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