Active NPI
Amanda A. McLeish, MA, CCJP, CIS
- Addiction (Substance Use Disorder) Counselor
- Parkersburg, WV
National Provider Identifier
1386867406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 06-211
- Practice address
- 2121 7TH St
Parkersburg, WV 26101-3803 - Phone
- (304) 485-1721
- Fax
- (304) 485-6710
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06-211 | WV | Primary |
Addresses
Primary practice location
2121 7TH St
Parkersburg, WV 26101-3803
Mailing address
7000 County 9 Road
Newport, OH 45768
Phone (740) 473-9130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06-211 | Other | WV | WV CIS CERTIFICATION |
| 06-741 | Other | WV | WV CCJP CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-211 | WV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386867406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 COUNTY 9 ROAD",
"city": "NEWPORT",
"state": "OH",
"postal_code": "45768",
"telephone_number": "740-473-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 7TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013803",
"telephone_number": "304-485-1721",
"fax_number": "304-485-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEISH",
"first_name": "AMANDA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "MA, CCJP, CIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WV",
"license": "06-211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV CIS CERTIFICATION",
"identifier": "06-211",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV CCJP CERTIFICATION",
"identifier": "06-741",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.