KIMBERLY NICOLE STAFFORD LPC
NPI 1871745695
Counselor - Professional in Wytheville, VA

Active since October 13, 2008
770 W RIDGE RD, WYTHEVILLE, VA 24382(276) 223-3200(276) 223-0617 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Nicole Stafford Lpc NPPES

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

KIMBERLY NICOLE STAFFORD LPC (NPI 1871745695) is an individual professional provider in Wytheville, Virginia, licensed in Virginia (0701004388) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1871745695
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY NICOLE STAFFORDCredential: LPC
Location Address770 W RIDGE RDWytheville, VA 24382-1187
Mailing Address770 W Ridge RdWytheville, VA 24382-1187 · (276) 223-3200 · Fax (276) 223-0617
Fax(276) 223-0617
Sole ProprietorNo
Enumeration DateOctober 13, 2008
Last NPPES UpdateApril 23, 2012
NPI 1871745695 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 · 0701004388
770 W RIDGE RD, Wytheville, VA 24382

Other Names 1

Former Name (1)Kimberly Stafford Payne Lpc

Other Identifiers 4

Other1871745695VA · Anthem
Other450666VA · Mhn - Tricare
Medicaid004945298VA
Other450666VA · Mhn

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.

Counselor (Mental Health)
770 W RIDGE RD
WYTHEVILLE, VA 24382
Occupational Therapist
770 W RIDGE RD
WYTHEVILLE, VA 24382
Assisted Living Facility
770 W RIDGE RD
WYTHEVILLE, VA 24382
Social Worker (Clinical)
770 W RIDGE RD
WYTHEVILLE, VA 24382
Clinic/Center (Mental Health (Including Community Mental Health Center))
770 W RIDGE RD
WYTHEVILLE, VA 24382
Counselor (Professional)
770 W RIDGE RD
WYTHEVILLE, VA 24382
Counselor (Mental Health)
770 W RIDGE RD
WYTHEVILLE, VA 24382
Social Worker (Clinical)
770 W RIDGE RD
WYTHEVILLE, VA 24382

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 Kimberly Stafford's NPI number?

The NPI number for Kimberly Stafford is 1871745695. It was assigned to this individual provider in the NPPES registry on October 13, 2008. The provider is also known as Kimberly Stafford Payne Lpc.

Where is Kimberly Stafford located?

Kimberly Stafford practices at 770 W Ridge Rd, Wytheville, VA 24382. The listed phone number is (276) 223-3200.

What is Kimberly Stafford's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Stafford was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.