Active NPI
Passages Therapy and Counseling, PLLC
- Clinical Social Worker
- Elkins, WV
National Provider Identifier
1093314825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PASSAGES THERAPY AND COUNSELING, PLLC
- Practice address
- 200 Weese St
Elkins, WV 26241-3758 - Phone
- (304) 704-3885
- NPI assigned
- Oct 22, 2020
- Last updated
- Nov 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlena Chestnut, LICSW
- Title
- Owner/ Psychotherapist
- Phone
- (304) 704-3885
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
200 Weese St
Elkins, WV 26241-3758
Mailing address
PO Box 290
Harman, WV 26270-0290
Phone (304) 704-3885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 S Randolph Ave
Elkins, WV 26241
Phone (304) 642-2418
200 Weese St
Elkins, WV 26241
Phone (304) 704-3885
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Morgantown, WV
- NPI 1528788205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1093314825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290",
"city": "HARMAN",
"state": "WV",
"postal_code": "262700290",
"telephone_number": "304-704-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEESE ST",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413758",
"telephone_number": "304-704-3885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSAGES THERAPY AND COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-22",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "CHESTNUT",
"authorized_official_first_name": "MARLENA",
"authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
"authorized_official_telephone_number": "304-704-3885",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.