Active NPI
Misti Jones Wheeler Ms Inc.
- Clinical Psychologist
- Beckley, WV
National Provider Identifier
1174741607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 828
- Legal business name
- MISTI JONES WHEELER MS INC.
- Practice address
- 805 Johnstown Rd
Beckley, WV 25801-4935 - Phone
- (304) 929-3945
- Fax
- (304) 929-3945
- NPI assigned
- Apr 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misti Dawn Jones- Wheeler, M.S.
- Title
- Owner
- Phone
- (304) 929-3945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 828 | WV | Primary |
Addresses
Primary practice location
805 Johnstown Rd
Beckley, WV 25801-4935
Mailing address
214 Woodlawn Ave
Beckley, WV 25801-5407
Phone (304) 575-6718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810002103 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
805 Johnstown Rd
Beckley, WV 25801
Phone (304) 929-3945
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Beckley, WV
- NPI 1356440390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174741607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 WOODLAWN AVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258015407",
"telephone_number": "304-575-6718",
"fax_number": "304-929-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 JOHNSTOWN RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014935",
"telephone_number": "304-929-3945",
"fax_number": "304-929-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISTI JONES WHEELER MS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES- WHEELER",
"authorized_official_first_name": "MISTI",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-929-3945",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810002103",
"state": "WV"
}
],
"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 Aug 22, 2020; 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.