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LISA M KILGORE
NPI 1043739410
Counselor - Professional in Vinton, VA

Active since September 16, 2017PECOS Enrolled
10 WALNUT AVE STE 3, VINTON, VA 24179(540) 798-1210 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Mar 4, 2018, Sep 16, 2017 (3 updates tracked since 2017).

About Lisa M Kilgore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M KILGORE (NPI 1043739410) is an individual professional provider in Vinton, Virginia and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bedford, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043739410
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA M KILGORE
Location Address10 WALNUT AVE STE 3Vinton, VA 24179-2537
Mailing Address1609 British WayVinton, VA 24179-6076
Phone(540) 798-1210
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1043739410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
10 WALNUT AVE STE 3, Vinton, VA 24179
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Secondary Practice Location 1

Location 1315 N Bridge StBedford, VA 24523-1927 · Phone (540) 798-1210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Kilgore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850861436
PECOS Enrollment IDI20260525000411
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Lisa Kilgore's NPI number?

The NPI number assigned to this healthcare provider is 1043739410, enumerated as an "individual" on September 16, 2017.

Where is the provider located?

The provider is located at 10 WALNUT AVE STE 3 VINTON, VA 24179 and the phone number is (540) 798-1210.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.