MEDICARE: TONIA KENDALL VINECOMBE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0701006745	VA

General Provider Information

NPI Number	:	1235783556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONIA KENDALL VINECOMBE LPC

Provider Business Mailing Address
First Line	:	5511 STAPLES MILL RD STE 102
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-5445
Country	:	US
Telephone Number	:	804-523-6245
Fax Number	:	804-264-0835

Provider Business Practice Location Address
First Line	:	605 CALVERT ST
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4754
Country	:	US
Telephone Number	:	540-319-4215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2019
Last Update Date	:	03/02/2026

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