Individual provider Active NPI

Marshall McGlothlin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Bluff, VA
National Provider Identifier
1427899335
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190320 Issued in VA
Practice address
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone
(276) 821-2260
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190320 VA Primary

Addresses

Primary practice location

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190

Mailing address

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (276) 821-2260

Other practice location 1

106 Spring Ave NE
Wise, VA 24293-7527
Phone (276) 963-0111

Other practice location 2

112 E Main St
Abingdon, VA 24210-2808
Phone (276) 963-0111

Other practice location 3

510 W Main St
Wytheville, VA 24382-2209
Phone (276) 963-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000014 VA Practitioner - Nurse Practitioner 1951846328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Waters Counseling CenterGroup PAC ID 9931362399, 16 clinicians

Practice addresses (Care Compare)

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (276) 963-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024190320VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Waters Counseling Center Psychiatric/Mental Health CurrentSince Jun 6, 2024 Accepting new patients
NP Partners L.L.C. Past Accepting new patients

Locations

185 Redwood Ave
Ste 102B
Pennington Gap, VA 24277
Phone (276) 963-0111

169 Suffolk Ave
Ste 1
Richlands, VA 24641
Phone (276) 821-2260

106 Spring Ave NE
Wise, VA 24293
Phone (276) 533-3193

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1427899335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CEDAR VALLEY DR",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099190",
            "telephone_number": "276-821-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CEDAR VALLEY DR",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099190",
            "telephone_number": "276-821-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Spring Ave NE",
            "address_purpose": "LOCATION",
            "city": "Wise",
            "state": "VA",
            "postal_code": "242937527",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E Main St",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102808",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243822209",
            "country_code": "US",
            "telephone_number": "276-963-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGLOTHLIN",
        "first_name": "MARSHALL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

Verify at the official NPI Registry.