Deborah A Eastham, MA MENTAL HEALTH COU

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5179 Lynn Creek Rd
Lavalette, WV 25535-9712

Phone

(304) 617-2211

NPI assigned

Oct 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deborah A Eastham Professional name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1184341091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5179 LYNN CREEK RD",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359712",
            "telephone_number": "304-617-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5179 LYNN CREEK RD",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359712",
            "telephone_number": "304-617-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "MA MENTAL HEALTH COU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "deastham@crittentonwv.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5179 Lynn Creek Rd",
            "city": "Lavalette",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255359712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deastham@crittentonwv.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "deastham@crittentonwv.org",
            "address_1": "5179 Lynn Creek Rd",
            "city": "Lavalette",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255359712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "deastham@crittentonwv,org",
            "affiliation": "N",
            "endpointDescription": "employer email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "5179 Lynn Creek Road, Lavalette wv 25535",
            "address_1": "5179 Lynn Creek Rd",
            "city": "Lavalette",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255359712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "EASTHAM",
            "middle_name": "A",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Lavalette, WV
• Providers in Lavalette, WV by specialty
• Mental Health Counselor in West Virginia

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