NPIMap

Organization Active NPI

Kanawha Valley Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
National Provider Identifier
1164639373
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KANAWHA VALLEY CENTER INC
Practice address
200 Bradford Street
Charleston, WV 25301-5301
Phone
(800) 835-5277
Fax
(304) 347-9820
NPI assigned
May 17, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kristi Renea Ferrell, MA
Title
Director of Administration and Huma
Phone
(304) 347-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WV Primary

Addresses

Primary practice location

200 Bradford Street
Charleston, WV 25301-5301

Mailing address

200 Bradford Street
Charleston, WV 25301-5301
Phone (800) 835-5277

Other identifiers 1

IdentifierTypeStateIssuer
5200000001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
KVC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 Quarrier St
Charleston, WV 25301
Phone (304) 347-9818

Practitioners & affiliated clinicians

Practitioners 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164639373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADFORD STREET",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253015301",
            "telephone_number": "800-835-5277",
            "fax_number": "304-347-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRADFORD STREET",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253015301",
            "telephone_number": "800-835-5277",
            "fax_number": "304-347-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA VALLEY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION AND HUMA",
        "authorized_official_telephone_number": "304-347-9818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200000001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.