Kisha Wynnette Mickens, LPC
NPI 1447933973ActiveIndividual· Counselor, Professional· West Point, VA
Counselor, Professional (LPC) with Colonial Behavioral Health, practicing in West Point, Virginia. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1447933973 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Aug 10, 2023 |
| Last updated in NPPES | Aug 10, 2023 |
| Certified by provider | Aug 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 0701012722 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (VA) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Colonial Behavioral HealthYorktown, VA · 19 clinicians
Other Counselor, Professional providers in West Point
- 1710132576