Individual provider Active NPI

Jessica Ann Maupin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1386255149
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017912 Issued in KY
Practice address
7 Stonecrest Dr
Huntington, WV 25701-9392
Phone
(304) 684-6783
Fax
(304) 999-4270
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017912 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113533 WV
Registered Nurse 163W00000X 1148438 KY

Addresses

Primary practice location

7 Stonecrest Dr
Huntington, WV 25701-9392

Mailing address

7 Stonecrest Dr
Huntington, WV 25701-9392
Phone (304) 684-6783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1148438KYMDRegistered Nurse
3017912KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Mental Health Professional Limited Liability Company Psychiatric/Mental Health CurrentSince Apr 21, 2024 Accepting new patients
Integrative Recovery Care LLC PastSince Dec 14, 2025 Accepting new patients

Locations

1557 Winchester Ave
Ste 207
Ashland, KY 41101
Phone (606) 722-0486

Organizations & group practices 2

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1386255149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019392",
            "telephone_number": "304-684-6783",
            "fax_number": "304-999-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019392",
            "telephone_number": "304-684-6783",
            "fax_number": "304-999-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017912",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "113533",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1148438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.