Organization Active NPI

Holistic Therapy Center, LLC

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1184086035
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944084 Issued in WV
Legal business name
HOLISTIC THERAPY CENTER, LLC
Practice address
3461 University Ave
Suite 102
Morgantown, WV 26505-0351
Phone
(304) 680-7003
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Jamie Downs, LICSW, MSW, AADCNPI 1013259068
Title
Owner/Therapist
Phone
(304) 680-7003

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X DP00944084 WV Primary

Addresses

Primary practice location

3461 University Ave
Suite 102
Morgantown, WV 26505-0351

Mailing address

3461 University Ave
Suite 102
Morgantown, WV 26505-0351

National Provider Directory

National Provider Directory

Locations

3461 University Ave
Ste 102
Morgantown, WV 26505
Phone (304) 680-7003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1184086035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 UNIVERSITY AVE",
            "address_2": "SUITE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 UNIVERSITY AVE",
            "address_2": "SUITE 102",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050351",
            "telephone_number": "304-680-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "304-680-7003",
        "authorized_official_credential": "LICSW, MSW, AADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.