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KRISTY ANN MCKISIC
NPI 1144825357
Community/Behavioral Health in Fairmont, WV

Active since December 03, 2020
1036 SPEEDWAY AVE STE 2, FAIRMONT, WV 26554(614) 487-8758 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristy Ann Mckisic NPPES

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

KRISTY ANN MCKISIC (NPI 1144825357) is an individual community/behavioral health provider in Fairmont, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1144825357
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameKRISTY ANN MCKISIC
Location Address1036 SPEEDWAY AVE STE 2Fairmont, WV 26554-4479
Mailing Address1036 Speedway Ave Ste 2Fairmont, WV 26554-4479 · (614) 487-8758
Phone(614) 487-8758
Sole ProprietorYes
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1144825357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1036 SPEEDWAY AVE STE 2, Fairmont, WV 26554
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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 Kristy Mckisic's NPI number?

The NPI number for Kristy Mckisic is 1144825357. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Kristy Mckisic located?

Kristy Mckisic practices at 1036 Speedway Ave Ste 2, Fairmont, WV 26554. The listed phone number is (614) 487-8758.

What is Kristy Mckisic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kristy Mckisic was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.