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KENNEDY DELESDERNIER LPC
NPI 1326844820
Counselor - Professional in Ashland, VA

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment
12300 WASHINGTON HWY, ASHLAND, VA 23005(804) 365-4256 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kennedy Delesdernier Lpc NPPES

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

KENNEDY DELESDERNIER LPC (NPI 1326844820) is an individual professional provider in Ashland, Virginia, licensed in Virginia (0701014567) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1326844820
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENNEDY DELESDERNIERCredential: LPC
Location Address12300 WASHINGTON HWYAshland, VA 23005-7646
Mailing Address16060 Geese Lake LnMontpelier, VA 23192-2312 · (804) 839-3955
Phone(804) 365-4256
Sole ProprietorNo
Medical School CMSOther
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1326844820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701014567
12300 WASHINGTON HWY, Ashland, VA 23005
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy Delesdernier Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507389194
PECOS Enrollment IDI20250324003372
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.

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Delesdernier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hanover County Board Of Supervisors
Same address
Mental Health
12300 WASHINGTON HWY
Ashland, VA 23005
  • Reassigned Medicare billing, Virginia enrollment
  • 39 clinicians in this Medicare group
NPI 1104858653 (804) 365-4222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

KATHY REDFEARN LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4230
MR. LARS W MESSERSCHMIDT LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4191
ALEXANDER ISAAC CARROLL LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4244
LINDSEY MORRIS SIMMERS LPC
Counselor (Professional)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
MS. KATHERINE PATRICK KETNER
Counselor (Professional)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
RUSSELL M. VEALS LCSW
Counselor (Mental Health)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
CARLEIGH VIOLET BODIN LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
HELEN ELIZABETH FORMAN
Counselor (Professional)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222

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 Kennedy Delesdernier's NPI number?

The NPI number for Kennedy Delesdernier is 1326844820. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Kennedy Delesdernier located?

Kennedy Delesdernier practices at 12300 Washington Hwy, Ashland, VA 23005. The listed phone number is (804) 365-4256.

What is Kennedy Delesdernier's specialty?

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

Is Kennedy Delesdernier enrolled in Medicare?

Yes. Kennedy Delesdernier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kennedy Delesdernier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Delesdernier reassigns Medicare benefits to Hanover County Board Of Supervisors (Ashland, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedy Delesdernier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kennedy Delesdernier was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.