Southern Highlands Community Mental Health Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.

Practice address

200 12TH Street Ext
Princeton, WV 24740-2329

Phone

(304) 425-9541

Fax

(681) 282-5558

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Lisa L. Jones

Title

Chief Executive Officer

Phone

(304) 425-9541

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1205476488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402329",
            "telephone_number": "304-425-9541",
            "fax_number": "681-282-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402329",
            "telephone_number": "304-425-9541",
            "fax_number": "681-282-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-425-9541"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005489001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaley Danielle Snyder, LMT
• Kathleen Elizabeth Sommers, MA, LPC, NCC
• Freda K Sorah
• Southern Highlands
• Southern Highlands Community Mental Health Center
• Southern Highlands Community Mental Health Center, Inc.
• Southern Highlands Community Mental Health Center, Inc.
• Southern Highlands Community Mental Health Center, Inc.
• Southern Highlands Community Mental Health Center, Inc.
• Southern Highlands Community Mental Health Center, Inc.

• Primary Care Clinic/Center in Princeton, WV
• Providers in Princeton, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.