Organization Active NPI

Keep Your Faith Corporation Incorporated

  • Community/Behavioral Health Agency
  • Charleston, WV
National Provider Identifier
1366033615
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KEEP YOUR FAITH CORPORATION INCORPORATED
Practice address
1313 Quarrier St
Charleston, WV 25301-6002
Phone
(304) 881-7736
NPI assigned
Jan 29, 2021
Organization subpart
Yes
Parent organization
KEEP YOUR FAITH CORPORATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Alecia Allen, LPCNPI 1396363099
Title
Statewide Clinical Director
Phone
(304) 881-7736

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1313 Quarrier St
Charleston, WV 25301-6002

Mailing address

1313 Quarrier St
Charleston, WV 25301-6002
Phone (304) 881-7736

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice Other

National Provider Directory

National Provider Directory
Part of
Keep Your Faith Corporation Incorporated

Locations

1313 Quarrier St
Charleston, WV 25301
Phone (304) 276-9800

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": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1366033615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 QUARRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253016002",
            "telephone_number": "304-881-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 QUARRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253016002",
            "telephone_number": "304-881-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEP YOUR FAITH CORPORATION INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEEP YOUR FAITH CORPORATION INC",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_title_or_position": "STATEWIDE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-881-7736",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client Portal",
            "address_1": "1313 Quarrier St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253016002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.