Active NPI
Tronda Douglas, TRAINEE QMHP
- Counselor
- Martinsburg, WV
National Provider Identifier
1427892512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1004 Sushruta Dr Ste C
Martinsburg, WV 25401-8801 - Phone
- (681) 446-7071
- Fax
- (681) 446-7079
- NPI assigned
- Jun 24, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1004 Sushruta Dr Ste C
Martinsburg, WV 25401-8801
Mailing address
1004 Sushruta Dr Ste C
Martinsburg, WV 25401-8801
Phone (681) 446-7071
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balm Center | Counselor | Current | Accepting new patients |
Locations
1004 Sushruta Dr
Ste C
Martinsburg, WV 25401
Phone (304) 264-0888
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1427892512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SUSHRUTA DR STE C",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018801",
"telephone_number": "681-446-7071",
"fax_number": "681-446-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 SUSHRUTA DR STE C",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018801",
"telephone_number": "681-446-7071",
"fax_number": "681-446-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "TRONDA",
"credential": "TRAINEE QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.