Organization Active NPI

Passages Therapy and Counseling, PLLC

  • Clinical Social Worker
  • Elkins, WV
National Provider Identifier
1093314825
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Marlena Chestnut, LICSWNPI 1073811394
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20201117000815 WV Part B Supplier - Clinic/Group Practice 7214348697 Receives reassigned benefits from 2 practitioners
Practice locations: Kingwood, WV; Elkins, WV; Fairmont, WV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.