Active NPI
Richard James Gerlach, MA, NCC
- Community Health Worker
- Fairmont, WV
National Provider Identifier
1386915080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 448 Leonard Ave
Fairmont, WV 26554-3843 - Phone
- (304) 296-1731
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
448 Leonard Ave
Fairmont, WV 26554-3843
Mailing address
6204 Stonewood Dr
Morgantown, WV 26505-3871
Phone (215) 740-2208
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Comprehensive Community Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Valley HealthCare System
- Mental Health Counselor
- Morgantown, WV
- NPI 1861476350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1386915080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 STONEWOOD DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053871",
"telephone_number": "215-740-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 LEONARD AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265543843",
"telephone_number": "304-296-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLACH",
"first_name": "RICHARD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MA, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.