Organization Active NPI

Starlight Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Barboursville, WV
National Provider Identifier
1235286865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00372 Issued in WV
Legal business name
STARLIGHT BEHAVIORAL HEALTH SERVICES, INC.
Practice address
702 Central Ave
Barboursville, WV 25504-1304
Phone
(304) 302-2078
Fax
(304) 302-7260
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Amy Elizabeth Searls
Title
Vice President
Phone
(304) 302-2078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00372 WV Primary

Addresses

Primary practice location

702 Central Ave
Barboursville, WV 25504-1304

Mailing address

702 Central Ave
Barboursville, WV 25504-1304
Phone (304) 302-2078

Other identifiers 1

IdentifierTypeStateIssuer
3810005984MedicaidWV

National Provider Directory

National Provider Directory

Locations

702 Central Ave
Barboursville, WV 25504
Phone (304) 302-2078

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235286865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041304",
            "telephone_number": "304-302-2078",
            "fax_number": "304-302-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041304",
            "telephone_number": "304-302-2078",
            "fax_number": "304-302-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEARLS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-302-2078",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "00372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005984",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.