Tristate Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRISTATE PSYCHOTHERAPY LLC

Practice address

142 N Queen St Ste 212
Martinsburg, WV 25401-3312

Phone

(304) 268-6591

NPI assigned

Apr 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ana Finney, MSW, LICSWNPI 1164887840

Title

Owner/Licsw

Phone

(304) 268-6591

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ana Finney, MSW, LICSW

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1164887840
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1033672043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 N QUEEN ST STE 212",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013312",
            "telephone_number": "304-268-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N QUEEN ST STE 212",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013312",
            "telephone_number": "304-268-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER/LICSW",
        "authorized_official_telephone_number": "304-268-6591",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.