Individual provider Active NPI

Bobby Griffith

  • Professional Counselor
  • Mullens, WV
National Provider Identifier
1487032595
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2244 Issued in WV
Practice address
300 Front St
Mullens, WV 25882-1304
Phone
(304) 673-5995
NPI assigned
May 8, 2015
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2244 WV Primary
Social Worker 104100000X AP00941612 WV

Addresses

Primary practice location

300 Front St
Mullens, WV 25882-1304

Mailing address

300 Front St
Mullens, WV 25882-1304
Phone (304) 673-5995

Other practice location 1

832 Neville St Ste B
Beckley, WV 25801-4342
Phone (304) 929-4130

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
I20240416000248 WV Practitioner - Mental Health Counselor 7719395623 Practice locations: Mullens, WV

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 Front St
Mullens, WV 25882-1304
Phone (681) 532-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP00941612WVMDSocial Worker
2244WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind, Inc. Past Accepting new patients
New Perspectives Counseling Services PastSince Jan 1, 2024 Accepting new patients

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1487032595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRONT ST",
            "city": "MULLENS",
            "state": "WV",
            "postal_code": "258821304",
            "telephone_number": "304-673-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRONT ST",
            "city": "MULLENS",
            "state": "WV",
            "postal_code": "258821304",
            "telephone_number": "304-673-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 Neville St Ste B",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258014342",
            "country_code": "US",
            "telephone_number": "304-929-4130",
            "fax_number": "304-929-4134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "BOBBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2244",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00941612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullens, WV

Sources for this page

Verify at the official NPI Registry.