Fresh Perspective Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00943676 Issued in WV

Legal business name

FRESH PERSPECTIVE PSYCHOTHERAPY, LLC

Practice address

2917 Dogtown Rd
Reedsville, WV 26547-7056

Phone

(304) 841-2259

NPI assigned

Jul 14, 2017

Last updated

Mar 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheena Nicholson, MSW, LICSWNPI 1609170745

Title

Owner/Psychotherapist

Phone

(304) 900-2002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

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.

• Sheena Rae Nicholson, MSW, LICSW

  • Clinical Social Worker
  • Reedsville, WV
  • NPI 1609170745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1134641889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 DOGTOWN RD",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "265477056",
            "telephone_number": "304-900-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 DOGTOWN RD",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "265477056",
            "telephone_number": "304-841-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH PERSPECTIVE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "304-900-2002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Israel Eshel, MD
• Norma Everett
• Bessie Feather
• Elsie Patricia Field
• Kathryn Jomarie Fitzgerald
• Ethan Funk
• Brittany Giuliani
• Richard Giuliani
• Courtney Brooke Streets Hayes, NP-C
• Brittaney Marie Nicholle Jackson

• Clinical Social Worker in Reedsville, WV
• Providers in Reedsville, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.