St. Joseph Recovery Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ST. JOSEPH RECOVERY CENTER, LLC

Practice address

1073 Arbuckle Rd
Summersville, WV 26651-1745

Phone

(304) 254-6159

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ST JOSEPH RECOVERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Donna J MeadowsNPI 1598827057

Title

Ceo

Phone

(304) 916-1881

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

St Joseph Recovery Center L

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Joseph Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Parkersburg, WV
  • NPI 1174021406
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna J Meadows, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkersburg, WV
  • NPI 1598827057
  NPD Authorized official
• Mary J Rapp

  • Case Manager/Care Coordinator
  • Vincent, OH
  • NPI 1346970837
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1346947025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE BLDG C",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-916-1881",
            "fax_number": "304-974-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 ARBUCKLE RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511745",
            "telephone_number": "304-254-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH RECOVERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JOSEPH RECOVERY CENTER, LLC",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-916-1881"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174021406",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jossie Spencer
• Judy Marie Spencer, PA-C
• Minnie Spencer
• Geraldine Ann Spinks
• Stephanie Michelle Spinks
• Amy Christine Stang
• Robert Charles Stanley, D.O.
• Christal R Stark, RN, MSN, C-PNP
• Bambi Steele
• Anita R. Stewart, D.O.

• Community/Behavioral Health Agency in Summersville, WV
• Providers in Summersville, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.