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JASON KIDWELL
NPI 1134646292
Counselor - Addiction (Substance Use Disorder) in Winchester, VA

Active since August 29, 2017
500 PEGASUS CT STE 500, WINCHESTER, VA 22602(540) 313-4196(540) 313-4196 Get Directions Write a Review

NPPES record last updated: August 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Kidwell NPPES

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

JASON KIDWELL (NPI 1134646292) is an individual addiction (substance use disorder) provider in Winchester, Virginia and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1134646292
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJASON KIDWELL
Location Address500 PEGASUS CT STE 500Winchester, VA 22602-4596
Mailing Address55 Beattie Pl Ste 810Greenville, SC 29601-2191 · (864) 527-3145 · Fax (864) 990-0653
Phone(540) 313-4196
Fax(540) 313-4196
Sole ProprietorNo
Enumeration DateAugust 29, 2017
✔ NPI 1134646292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
500 PEGASUS CT STE 500, Winchester, VA 22602
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CONSTANCE DELLA SEY LCSW
Social Worker (Clinical)
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (540) 313-4196
JOHN WILLIAM MASON MA
Counselor (Professional)
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (800) 805-6989
QUANSHIVYA LEWIS LPN
Licensed Practical Nurse
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (800) 805-6989
STEPHANIE DAVIS BS
Counselor (Addiction (Substance Use Disorder))
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (800) 805-6989
BRITTANY BOONE LPN
Licensed Practical Nurse
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (540) 313-4196
MR. RICHARD ALLEN YOUNG LSW
Counselor (Addiction (Substance Use Disorder))
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (540) 313-4196
CHRISTINE COURVILLE LPN
Licensed Practical Nurse
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (540) 313-4196
MRS. VICKI LOU WISE-SMITH
Counselor (Addiction (Substance Use Disorder))
500 PEGASUS CT STE 500
WINCHESTER, VA 22602
Frederick County (540) 313-4196

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 Jason Kidwell's NPI number?

The NPI number for Jason Kidwell is 1134646292. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Jason Kidwell located?

Jason Kidwell practices at 500 Pegasus Ct Ste 500, Winchester, VA 22602. The listed phone number is (540) 313-4196.

What is Jason Kidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jason Kidwell was last updated on August 29, 2017. 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.