1. Home
  2. Directory
  3. Virginia
  4. West Point
  5. Counselor
  6. NPI Profile

MS. KISHA WYNNETTE MICKENS LPC
NPI 1447933973
Counselor - Professional in West Point, VA

Active since August 10, 2023PECOS EnrolledAccepts Medicare Assignment
3210 MATTAPONI AVE, WEST POINT, VA 23181(804) 767-0973 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kisha Wynnette Mickens Lpc NPPES

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

MS. KISHA WYNNETTE MICKENS LPC (NPI 1447933973) is an individual professional provider in West Point, Virginia, licensed in Virginia (0701012722) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1447933973
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KISHA WYNNETTE MICKENSCredential: LPC
Location Address3210 MATTAPONI AVEWest Point, VA 23181-9307
Mailing Address3210 Mattaponi AveWest Point, VA 23181-9307 · (804) 767-0973
Phone(804) 767-0973
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1447933973 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 · 0701012722
3210 MATTAPONI AVE, West Point, VA 23181
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kisha Wynnette Mickens 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 ID9133579014
PECOS Enrollment IDI20231219003047
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 Kisha Mickens's NPI number?

The NPI number assigned to this healthcare provider is 1447933973, enumerated as an "individual" on August 10, 2023.

Where is the provider located?

The provider is located at 3210 MATTAPONI AVE WEST POINT, VA 23181 and the phone number is (804) 767-0973.

What is the provider's specialty?

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

What insurance does Kisha Mickens accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc. and. Please consult your insurance carrier or call the provider to verify.