Organization Active NPI

Mindsight Integrative Therapy Services

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1295449023
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDSIGHT INTEGRATIVE THERAPY SERVICES
Practice address
235 High St Ste 322
Morgantown, WV 26505-5455
Phone
(681) 214-0025
NPI assigned
Jan 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Darice Renee Yerkovich, LICSWNPI 1083103212
Title
Owner
Phone
(681) 214-0025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

235 High St Ste 322
Morgantown, WV 26505-5455

Mailing address

235 High St Ste 322
Morgantown, WV 26505-5455
Phone (681) 214-0025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dyerkovich@emdrwv.com Direct

National Provider Directory

National Provider Directory

Locations

235 High St
Ste 322
Morgantown, WV 26505
Phone (681) 214-0025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1295449023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HIGH ST STE 322",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055455",
            "telephone_number": "681-214-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HIGH ST STE 322",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055455",
            "telephone_number": "681-214-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSIGHT INTEGRATIVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "YERKOVICH",
        "authorized_official_first_name": "DARICE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "681-214-0025",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyerkovich@emdrwv.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 High St Ste 322",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265055455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 6, 2023; 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.