Active NPI
Valerie A Patrick, LSW
- Mental Health Counselor
- Coal Grove, OH
National Provider Identifier
1265600241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S-0018583
- Practice address
- 225 Carlton Davidson LN
Coal Grove, OH 45638-2924 - Phone
- (740) 355-8606
- Fax
- (740) 353-1662
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S-0018583 | OH | Primary |
Addresses
Primary practice location
225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Mailing address
901 Washington St
Portsmouth, OH 45662
Phone (740) 355-8606
Other names 1
- Mrs. Valerie A Patrick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-0018583 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1265600241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "45662",
"telephone_number": "740-355-8606",
"fax_number": "740-353-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CARLTON DAVIDSON LN",
"city": "COAL GROVE",
"state": "OH",
"postal_code": "456382924",
"telephone_number": "740-355-8606",
"fax_number": "740-353-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "VALERIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S-0018583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "PATRICK",
"middle_name": "A",
"prefix": "MRS.",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coal Grove, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.