Look up the most recent NPI and PECOS records

Bernnell Kindzred

Counselor

Behavioral Health & Social Service Providers

2215 Langhorne Rd, Lynchburg, VA 24501-1121

PECOS Enrollment

Based on the most recent information from CMS, provider Bernnell Kindzred does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1295220465
Provider Type
Individual
Full Name
Kindzred, Bernnell
Gender
Male

Sole Proprietor
No
Enumeration Date
6/28/2018
Last Updated
12/29/2021

Contact Information

Practice Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 948-4831

Unlisted Fax

Mailing Location

2215 Langhorne Rd, Lynchburg, VA 24501-1121

(434) 948-4831

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701007735 Virginia
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 0701007735 Virginia

Provider Identifiers

ID	Description	Issuer
ID 1437137734	Description Medicaid	Issuer Unlisted Virginia

Bernnell Kindzred

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Haupt, Julie Rae

Finch, Brenda

Sedwick-Sheusi, Lesli

Ramsey, Crystal G

Shumate Management Llc

Daley, Derek

Stewart, Bonnie C

Hine, Jaela

Harold, Alyssa

Bullock, Callee