NPIMap

Organization Active NPI

Crittenton Services

  • Community Health Worker
  • New Martinsville, WV
National Provider Identifier
1083428734
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
CRITTENTON SERVICES
Practice address
761 3Rd St # 1403
New Martinsville, WV 26155-1403
Phone
(304) 455-3035
Fax
(304) 455-3035
NPI assigned
Feb 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Ms. Brandy Michelle Kocher, RBANPI 1326843319
Title
Community Liaison
Phone
(304) 455-3035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

761 3Rd St # 1403
New Martinsville, WV 26155-1403

Mailing address

761 3Rd St
New Martinsville, WV 26155-1403
Phone (304) 455-3035

National Provider Directory

National Provider Directory

Locations

761 3rd St
#1403
New Martinsville, WV 26155
Phone (304) 455-3035

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1083428734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 3RD ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551403",
            "telephone_number": "304-455-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 3RD ST # 1403",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551403",
            "telephone_number": "304-455-3035",
            "fax_number": "304-455-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENTON SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "KOCHER",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COMMUNITY LIAISON",
        "authorized_official_telephone_number": "304-455-3035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RBA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 4, 2025; 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.