KANDICE KETTERLING
NPI 1780165647
Counselor - Professional in Lynchburg, VA

Q: What is Kandice Ketterling's NPI number?

The NPI number for Kandice Ketterling is 1780165647. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Q: What is Kandice Ketterling's specialty?

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

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment

3410 OLD FOREST RD, LYNCHBURG, VA 24501(434) 455-5342 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kandice Ketterling NPPES

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

KANDICE KETTERLING (NPI 1780165647) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701007770) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1780165647

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKANDICE KETTERLING

Location Address3410 OLD FOREST RDLynchburg, VA 24501-2915

Mailing Address3410 Old Forest RdLynchburg, VA 24501-2915

Phone(434) 455-5342

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 28, 2018

✔ NPI 1780165647 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 · 0701007770

3410 OLD FOREST RD, Lynchburg, VA 24501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Kandice Ketterling 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 ID6204288111

PECOS Enrollment IDI20240116003926

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

123 services12 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Other Providers at the Same Location NPPES 8

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

AMANDA MURPHY

Counselor (Professional)