Central Avenue Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CENTRAL AVENUE WELLNESS

Practice address

652 Central Ave
Barboursville, WV 25504-1314

Phone

(304) 638-2564

NPI assigned

May 25, 2022

Organization subpart

No

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

Authorized official

Name

Melody G Frye, LPCNPI 1932279452

Title

Owner

Phone

(304) 638-2564

Specialties & licenses 1

Addresses

Other names 1

• Central Avenue Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody G. Frye, LPC

  • Professional Counselor
  • Huntington, WV
  • NPI 1932279452
  Medicare reassignment NPD Authorized official
• Donna Hardy, LPC

  • Professional Counselor
  • Fort Gay, WV
  • NPI 1205292786
  Medicare reassignment NPD

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1396483731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041314",
            "telephone_number": "304-638-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041314",
            "telephone_number": "304-638-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AVENUE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-638-2564",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Avenue Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Causey
• Bridgett Cavanaugh
• Hannah Cayton
• Kayla Cearley
• Suzanne M. Celdran, CFNP
• Melissa Chadwell
• Michelle Chaffin
• Josh Chafin
• Allan Scott Chamberlain, MD
• Desaree Chambers

• Mental Health Counselor in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.