Active NPI
Marsha Mead, PHD, LPC, Inc
- Professional Counselor
- Bluefield, VA
National Provider Identifier
1427246602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001654
- Legal business name
- MARSHA MEAD, PHD, LPC, INC
- Practice address
- 105 Westwood CMN
Bluefield, VA 24605-2031 - Phone
- (276) 971-5678
- NPI assigned
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marsha Mead, PHD
- Title
- President
- Phone
- (276) 971-5678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001654 | VA | Primary |
Addresses
Primary practice location
105 Westwood CMN
Bluefield, VA 24605-2031
Mailing address
PO Box 250
Bluefield, VA 24605-0250
Phone (276) 971-5678
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036619 | Other | CAQH | |
| 083718 | Other | VA | SENTARA |
| 160452 | Other | VA | MAGELLAN |
| 252474 | Other | NY | VALUE OPTIONS |
| 032773 | Other | VA | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1427246602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246050250",
"telephone_number": "276-971-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WESTWOOD CMN",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246052031",
"telephone_number": "276-971-5678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHA MEAD, PHD, LPC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "MEAD",
"authorized_official_first_name": "MARSHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "276-971-5678",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "1036619",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "083718",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "160452",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "252474",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "032773",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.