NPIMap

Organization Active NPI

Coalfield Family Services, PLLC

Doing business as Coalfield Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Gay, WV
National Provider Identifier
1508540303
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COALFIELD FAMILY SERVICES, PLLC
Doing business as
Coalfield Family Services
Practice address
20824 Route 52
Fort Gay, WV 25514-7074
Phone
(304) 648-7100
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Danny Ernest Jude Jr., LICSWNPI 1316385792
Title
Owner
Phone
(304) 648-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

20824 Route 52
Fort Gay, WV 25514-7074

Mailing address

20824 Route 52
Fort Gay, WV 25514-7074
Phone (304) 648-7100

Other names 1

  • Coalfield Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coalfield Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1508540303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20824 ROUTE 52",
            "city": "FORT GAY",
            "state": "WV",
            "postal_code": "255147074",
            "telephone_number": "304-648-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20824 ROUTE 52",
            "city": "FORT GAY",
            "state": "WV",
            "postal_code": "255147074",
            "telephone_number": "304-648-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALFIELD FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "JUDE",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-648-7100",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coalfield Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Gay, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.