Individual provider Active NPI

Stephani Trent, M.A.

  • Clinical Psychologist
  • Beckley, WV
National Provider Identifier
1124308739
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1027 Issued in WV
Practice address
2401 S Kanawha St Ste 106
Beckley, WV 25801-6967
Phone
(681) 238-5600
Fax
(681) 238-5601
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1027 WV Primary

Addresses

Primary practice location

2401 S Kanawha St Ste 106
Beckley, WV 25801-6967

Mailing address

2401 S Kanawha St Ste 106
Beckley, WV 25801-6967
Phone (681) 238-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000792 WV Practitioner - Psychologist Billing Independently 6103076773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2401 S Kanawha St
Suite 106
Beckley, WV 25801-6967
Phone (681) 238-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1027WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Psycholgical Services, PLLC CurrentSince Sep 15, 2012 Accepting new patients

Locations

2401 S Kanawha St
Ste 106
Beckley, WV 25801
Phone (304) 255-2622

2401 S Kanawha St
Ste 101
Beckley, WV 25801
Phone (304) 719-3910

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6021/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1124308739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST STE 106",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "681-238-5600",
            "fax_number": "681-238-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST STE 106",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "681-238-5600",
            "fax_number": "681-238-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "STEPHANI",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.