Organization Active NPI

Intensive Trauma Therapy Inc

  • Art Therapist
  • Morgantown, WV
National Provider Identifier
1194820118
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
79001 Issued in NU
Legal business name
INTENSIVE TRAUMA THERAPY INC
Practice address
314 Scott Avenue
Morgantown, WV 26508
Phone
(304) 291-2912
Fax
(304) 291-2918
NPI assigned
Sep 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Linda Gantt, PHD ATRBCNPI 1720164908
Title
Executive Director
Phone
(304) 291-2912

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PC001898 PA
Clinical Social Worker 1041C0700X DP00939059 WV
Clinical Social Worker 1041C0700X DP00942623 WV
Art Therapist 221700000X 79001 NU Primary

Addresses

Primary practice location

314 Scott Avenue
Morgantown, WV 26508

Mailing address

314 Scott Avenue
Morgantown, WV 26508
Phone (304) 291-2912

National Provider Directory

National Provider Directory

Locations

314 Scott Ave
Morgantown, WV 26508
Phone (304) 291-2912

Practitioners & affiliated clinicians

Practitioners 1

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194820118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SCOTT AVENUE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-291-2912",
            "fax_number": "304-291-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SCOTT AVENUE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26508",
            "telephone_number": "304-291-2912",
            "fax_number": "304-291-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE TRAUMA THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-291-2912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD ATRBC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PC001898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939059",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942623",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": "79001",
            "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 Sep 11, 2025; 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.