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: August 16, 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 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
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

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kilgore's NPI number?

The NPI number for Lisa Kilgore is 1043739410. It was assigned to this individual provider in the NPPES registry on September 16, 2017.

Where is Lisa Kilgore located?

Lisa Kilgore practices at 10 Walnut Ave Ste 3, Vinton, VA 24179. The listed phone number is (540) 798-1210.

What is Lisa Kilgore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Kilgore enrolled in Medicare?

Yes. Lisa Kilgore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Kilgore was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.