NPIMap

Organization Active NPI

Florence Crittenton Programs, Inc

  • Mental Health Counselor
  • New Martinsville, WV
National Provider Identifier
1063579209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLORENCE CRITTENTON PROGRAMS, INC
Practice address
761 3Rd St
New Martinsville, WV 26155-1403
Phone
(304) 455-3035
Fax
(304) 455-3076
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Beverly Petrelli, MSW
Title
Vice President of Wellspring
Phone
(304) 242-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

761 3Rd St
New Martinsville, WV 26155-1403

Mailing address

2606 National Rd
Wheeling, WV 26003-5370
Phone (304) 242-7060

Other names 1

  • Wellspring Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florence Crittenton Programs Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063579209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035370",
            "telephone_number": "304-242-7060",
            "fax_number": "304-242-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 3RD ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551403",
            "telephone_number": "304-455-3035",
            "fax_number": "304-455-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE CRITTENTON PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRELLI",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF WELLSPRING",
        "authorized_official_telephone_number": "304-242-7060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.