MR. RICKY DONALD MITCHELL CSAC, LPC
NPI 1457556011
Counselor - Professional in Bristol, VA

Active since June 15, 2007Opted out of Medicare · through Oct 15, 2026
261 NORTH ST, BRISTOL, VA 24201(276) 254-5445(276) 208-8045 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Jun 4, 2024 (2 updates tracked since 2024).

About Mr. Ricky Donald Mitchell Csac, Lpc NPPES

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

MR. RICKY DONALD MITCHELL CSAC, LPC (NPI 1457556011) is an individual professional provider in Bristol, Virginia, licensed in Virginia (0701003539) and active in the NPI registry since June 2007. He has opted out of Medicare through October 15, 2026 and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1457556011
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RICKY DONALD MITCHELLCredential: CSAC, LPC
Location Address261 NORTH STBristol, VA 24201-3275
Mailing AddressPo Box 352Abingdon, VA 24212-0352 · (276) 254-5445 · Fax (276) 206-8045
Fax(276) 208-8045
Sole ProprietorNo
Enumeration DateJune 15, 2007
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1457556011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701003539
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0701003539 (VA)
261 NORTH ST, Bristol, VA 24201

Secondary Practice Locations 6

Location 13130 Lee Hwy Ste 104-105Bristol, VA 24202-6025 · Phone (276) 254-5445
Location 2205 W Main St Ste 1Abingdon, VA 24210-2765 · Phone (276) 254-5445
Location 3481 Bradley St SWAbingdon, VA 24210-3051 · Phone (276) 254-5445
Location 41280 Browning HolwClintwood, VA 24228-6074 · Phone (276) 254-5445
Location 522417 Watauga RdAbingdon, VA 24211-7065 · Phone (276) 254-5445
Location 624658 Dickenson HwyHaysi, VA 24256-5003 · Phone (276) 254-5445

Other Identifiers 1

Medicaid010072107VA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Ricky Donald Mitchell Csac, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024
Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

Counselor (Professional)
261 NORTH ST
BRISTOL, VA 24201
Registered Nurse (General Practice)
261 NORTH ST
BRISTOL, VA 24201
Peer Specialist
261 NORTH ST
BRISTOL, VA 24201
Peer Specialist
261 NORTH ST
BRISTOL, VA 24201
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
261 NORTH ST
BRISTOL, VA 24201
Counselor
261 NORTH ST
BRISTOL, VA 24201
Counselor (Professional)
261 NORTH ST
BRISTOL, VA 24201
Peer Specialist
261 NORTH ST
BRISTOL, VA 24201

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 Ricky Mitchell's NPI number?

The NPI number for Ricky Mitchell is 1457556011. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Ricky Mitchell located?

Ricky Mitchell practices at 261 North St, Bristol, VA 24201. The listed phone number is (276) 254-5445.

What is Ricky Mitchell's specialty?

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

Is Ricky Mitchell enrolled in Medicare?

No. Ricky Mitchell has opted out of Medicare through October 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ricky Mitchell accept?

Health plans from UnitedHealthcare list Ricky Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ricky Mitchell was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.