Individual provider Active NPI

Bobbi Jo Teasley, LPC, ALPS

  • Professional Counselor
  • Ravenswood, WV
National Provider Identifier
1245549062
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2386 Issued in WV
Practice address
705 Washington St # a
Ravenswood, WV 26164-1729
Phone
(304) 868-6000
NPI assigned
Sep 28, 2010
Reactivated
Jan 24, 2020
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2386 WV Primary
Professional Counselor 101YP2500X 30843 MT

Addresses

Primary practice location

705 Washington St # a
Ravenswood, WV 26164-1729

Mailing address

22 Wilson St
Ravenswood, WV 26164-1634
Phone (304) 377-1194

Other practice location 1

22 Wilson St
Ravenswood, WV 26164-1634
Phone (304) 377-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425004167 WV Practitioner - Mental Health Counselor 4981044856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

705 Washington St
Ravenswood, WV 26164-1729
Phone (304) 868-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30843MTMDProfessional Counselor
2386WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Apr 8, 2025 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Apr 8, 2025 Accepting new patients
Spaulding Psychological Services PastSince Aug 31, 2006 Accepting new patients

Locations

601 20th St
Huntington, WV 25703
Phone (304) 523-6421

705 Washington St
Ravenswood, WV 26164
Phone (304) 868-6000

705 Washington St
#A
Ravenswood, WV 26164
Phone (304) 868-6000

705 Washington St
Ste B
Ravenswood, WV 26164
Phone (304) 868-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1245549062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILSON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641634",
            "telephone_number": "304-377-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON ST # A",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641729",
            "telephone_number": "304-868-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Ravenswood",
            "state": "WV",
            "postal_code": "261641634",
            "country_code": "US",
            "telephone_number": "304-377-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "BOBBI",
        "middle_name": "JO",
        "credential": "LPC, ALPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "deactivation_date": "2020-01-15",
        "reactivation_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2386",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "30843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenswood, WV

Sources for this page

Verify at the official NPI Registry.