Lead Academy, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LEAD ACADEMY, INC.

Practice address

351 Valley View St
Midway, WV 25878

Phone

(304) 573-0661

Fax

(304) 573-0661

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Kirby Blankenship, PH.D.

Title

President

Phone

(304) 573-0661

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1174032338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "MIDWAY",
            "state": "WV",
            "postal_code": "258780280",
            "telephone_number": "304-573-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 VALLEY VIEW ST",
            "city": "MIDWAY",
            "state": "WV",
            "postal_code": "25878",
            "telephone_number": "304-573-0661",
            "fax_number": "304-573-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "KIRBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-573-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bloom
• Jessica Brogan
• Barbara Gillispie
• Veronica Jean Hunt
• Caitlyn Saharra Kincaid
• Melanie Morrison
• Julia Lynn Rahman

• All providers in Midway, WV
• Case Management Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.