Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457556011 Individual Practitioner Male Practitioner

Ricky Donald Mitchell , CSAC, LPC

Counselor - Professional • Bristol, VA

Professional Overview & Biography Verified Profile Summary

Ricky Mitchell, CSAC, LPC is a registered healthcare professional specializing in Counselor - Professional in Bristol, VA. Practice services are available at 261 NORTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

261 North St

Bristol, VA 242013275

Telephone 2762545445
Fax 2762088045
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bristol, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Bristol, VA (6609 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-23
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701003539

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License VA 0701003539

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010072107 (VA)

Secondary Practice Locations

22417 Watauga Rd

Abingdon, VA 242117065

Phone: 2762545445

205 W Main St Ste 1

Abingdon, VA 242102765

Phone: 2762545445

481 Bradley St Sw

Abingdon, VA 242103051

Phone: 2762545445

3130 Lee Hwy Ste 104-105

Bristol, VA 242026025

Phone: 2762545445

1280 Browning Holw

Clintwood, VA 242286074

Phone: 2762545445

24658 Dickenson Hwy

Haysi, VA 242565003

Phone: 2762545445

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Deron Ernst , LPC

Counselor - Professional

NPI 1083060750

Licensed Professional Counselor

Cheryl Clayton , LCSW

Social Worker - Clinical

NPI 1679659130

Licensed Clinical Social Worker

Sarah Perrigan-Swiney , LPC

Counselor - Mental Health

NPI 1861237455

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 04, 2024

Registered at 261 NORTH ST, BRISTOL, VA 242013275 (Tel: 2762545445)

📍
Updated Business Mailing Address June 04, 2024

Registered at PO BOX 352, ABINGDON, VA 242120352 (Tel: 2762545445)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2024

Counselor (License #0701003539 in VA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 165 GRANNYS RD, POUNDING MILL, VA 246374025 (Tel: 2769633606)

📍
Updated Business Mailing Address July 09, 2007

Registered at 80 WOODBRIAR ST., LEBANON, VA 24266 (Tel: 2769711488)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RICKY MITCHELL, CSAC, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #0701003539 in VA)

🟢
Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457556011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: August 23, 2024
Sole Proprietor: No

Mailing Address

Po Box 352

Abingdon, VA 242120352

Phone: 2762545445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.