KRISTEN NICHOLE STIDHAM (NPI# 1427196724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427196724 |
| Entity Type | Individual |
| Full Name | KRISTEN NICHOLE STIDHAM |
| Credential | BS MS |
| Practice Address |
3169 2nd Ave E Wcb # 3 Big Stone Gap VA 24219 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 2765238360 |
| Practice Fax Number | 2763238362 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3169 2ND AVE E WCB # 3 |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275632119 | Cynthia Dickson Sharitt | Social Worker | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2006-09-21 |
| 1811328891 | Sandra Crawford | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2013-12-02 |
| 1619309341 | Audrianna Chantea Eldridge | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2013-08-05 |
| 1194067108 | Adrienne Ann Johnson | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2013-03-18 |
| 1477809275 | Rebecca Faith Bolling | Licensed Practical Nurse | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2012-07-30 |
| 1952656803 | Adam Larry Middleton | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2012-07-17 |
| 1013285113 | Allyson Nicole Price | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2011-12-05 |
| 1164738001 | Whitney Leann Estep | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2010-08-30 |
| 1306078571 | Michael Sean Halcomb | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2009-08-20 |
| 1245469188 | Stephanie L Austin | Case Manager/Care Coordinator | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932247798 | Linda Kay Grizzle | Counselor | 2532 4th Ave East, Big Stone Gap, VA 24219 | 2007-02-02 |
| 1699813584 | Eric Todd Greene | Counselor | 43 Champions Avenue, Big Stone Gap, VA 24219 | 2007-02-02 |
| 1245378009 | Claressa Rema Young | Counselor | 2532 4th Avenue East, Big Stone Gap, VA 24219 | 2007-02-02 |
| 1164560421 | Deborah Lynn Skorupa | Counselor | 622 Powell Ave, Developmental Services, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1225309693 | Sharon Short Shaver | Counselor | 622 Powell Ave E, Big Stone Gap, VA 24219-2348 | 2012-01-18 |
| 1962674432 | Jennifer E Fasel | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2008-03-25 |
| 1487782520 | Roberto Todd Duffy | Counselor | 3169 Second Avenue East, Big Stone Gap, VA 24219 | 2007-03-01 |
| 1649315300 | Susann Renee Light-gibson | Counselor | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2007-02-21 |
| 1104964493 | James Dale Kegley | Counselor | 3169 2nd Avenue East, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1437297728 | John Stuart Riley | Counselor | 3169 2nd Avenue East, Big Stone Gap, VA 24219 | 2007-02-01 |
| Find all providers in BIG STONE GAP | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
Please comment or provide details below to improve the information on KRISTEN NICHOLE STIDHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.