Mending Hearts Coaching and Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MENDING HEARTS COACHING AND COUNSELING, LLC

Doing business as

Mending Hearts Coaching and Counseling

Practice address

1314 Edwin Miller Blvd, Ste 210
1314 Edwin Miller Blvd, Ste 210
Martinsburg, WV 25404

Phone

(304) 616-9566

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Bianca Stevens, CCMA(NHA)

Title

Medical Biller

Phone

(304) 240-2698

Specialties & licenses 1

Addresses

Other names 1

• Mending Hearts Coaching and Counseling Doing business as

Locations

Practitioners 2

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

• Nicholas Trietsch, LICSW

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1588082515
  NPD
• Angela E Mellott, MSW

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1922775253
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1407526171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 EDWIN MILLER BLVD, STE 210",
            "address_2": "1314 EDWIN MILLER BLVD, STE 210",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25404",
            "telephone_number": "304-616-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 EDWIN MILLER BLVD, STE 210",
            "address_2": "1314 EDWIN MILLER BLVD, STE 210",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25404",
            "telephone_number": "304-616-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS COACHING AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "304-240-2698",
        "authorized_official_credential": "CCMA(NHA)"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Hearts Coaching and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamila K Melander
• Angela E Mellott, MSW
• Kristen Mellott
• Emily Mellow
• Neo M Melonas, R.PH.
• Michael Menear
• Satish Kumar Menon, DO
• Suresh K Menon, MD
• Irene Mensah
• Meaghan Elizabeth Menth, MS, RDN, LDN

• Professional Counselor in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.