Individual provider Active NPI

Antoinette Pigatt

  • Professional Counselor
  • Martinsburg, WV
National Provider Identifier
1447827126
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2782 Issued in WV
Practice address
1004 Sushruta Dr Ste C
Martinsburg, WV 25401-8801
Phone
(681) 446-7071
Fax
(681) 446-7079
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC13414 MD
Counselor 101Y00000X 2782 WV
Pastoral Counselor 101YP1600X AP2330008 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X LC13414 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X 2782 WV
Mental Health Counselor 101YM0800X 2782 WV
Mental Health Counselor 101YM0800X LC13414 MD
Professional Counselor 101YP2500X 2782 WV Primary
Professional Counselor 101YP2500X LC13414 MD

Addresses

Primary practice location

1004 Sushruta Dr Ste C
Martinsburg, WV 25401-8801

Mailing address

PO Box 1371
Martinsburg, WV 25402-1371
Phone (304) 616-9698

Other practice location 1

8178 Lark Brown Rd Ste 202
Elkridge, MD 21075-6424
Phone (443) 234-3261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718002197 WV Practitioner - Mental Health Counselor 3779029418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC13414MDMDCounselor
AP2330008MDMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balm Center Counselor CurrentSince Jun 21, 2022 Accepting new patients
Peter J. Callahan, PLLC PastSince Jun 1, 2021 Accepting new patients
Callahan Counseling Addiction (Substance Use Disorder) PastSince Nov 24, 2024 Accepting new patients

Locations

8178 Lark Brown Rd
Ste 202
Elkridge, MD 21075
Phone (443) 234-3261

176 Health Care Ln
Ste B
Martinsburg, WV 25401
Phone (304) 260-0160

430 Randolph St
Ste B
Martinsburg, WV 25401

1004 Sushruta Dr
Ste C
Martinsburg, WV 25401
Phone (304) 264-0888

Organizations & group practices 3

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1447827126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021371",
            "telephone_number": "304-616-9698"
        },
        {
            "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": [
        {
            "address_1": "8178 Lark Brown Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756424",
            "country_code": "US",
            "telephone_number": "443-234-3261",
            "fax_number": "443-234-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIGATT",
        "first_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC13414",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "2782",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "AP2330008",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC13414",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "2782",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2782",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2782",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.