Individual provider Active NPI

Vanessa Linae Mathieu, APRN

  • Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1346547023
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN74460 Issued in WV
Practice address
1415 6TH Ave
Huntington, WV 25701-2420
Phone
(304) 523-1142
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN74460 WV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN74460 WV
Family Nurse Practitioner 363LF0000X 3006739 KY
Family Nurse Practitioner 363LF0000X APRN74460 WV

Addresses

Primary practice location

1415 6TH Ave
Huntington, WV 25701-2420

Mailing address

1415 6TH Ave
Huntington, WV 25701-2420
Phone (304) 523-1142

Other identifiers 2

IdentifierTypeStateIssuer
1346547023MedicaidWV
7100230910MedicaidKY

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312002371 WV Practitioner - Nurse Practitioner 9739332727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huntington Mental Health Associates IncGroup PAC ID 5193637734, 4 clinicians

Practice addresses (Care Compare)

1415 6TH Ave
Huntington, WV 25701-2420
Phone (681) 464-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN74460WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Mental Health Associates, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Balance Family & Behavioral Health LLC Nurse Practitioner Current Accepting new patients
Huntington Mental Health Associates, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Huntington Mental Health Associates, Inc. Past Accepting new patients

Locations

1415 6th Ave
Huntington, WV 25701
Phone (304) 523-1142

11713 Route 152
Wayne, WV 25570

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1346547023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012420",
            "telephone_number": "304-523-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012420",
            "telephone_number": "304-523-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "VANESSA",
        "middle_name": "LINAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN74460",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN74460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN74460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346547023",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100230910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.