NPIMap

Organization Active NPI

Potomac Highlands Mental Health Guild, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Petersburg, WV
National Provider Identifier
1114654548
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
POTOMAC HIGHLANDS MENTAL HEALTH GUILD, INC.
Practice address
7 Mountain View St
Petersburg, WV 26847-1796
Phone
(304) 257-1155
Fax
(304) 257-1945
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Carol D Hendrix
Title
Accounts Receivable Clerk
Phone
(304) 257-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

7 Mountain View St
Petersburg, WV 26847-1796

Mailing address

7 Mountain View St
Petersburg, WV 26847-1796
Phone (304) 257-1155

National Provider Directory

National Provider Directory
Tax ID family
Potomac Highlands Guild6 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.

Locations

7 Mountain View St
Petersburg, WV 26847
Phone (304) 257-1155

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1114654548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MOUNTAIN VIEW ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471796",
            "telephone_number": "304-257-1155",
            "fax_number": "304-257-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MOUNTAIN VIEW ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471796",
            "telephone_number": "304-257-1155",
            "fax_number": "304-257-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC HIGHLANDS MENTAL HEALTH GUILD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE CLERK",
        "authorized_official_telephone_number": "304-257-1155"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.