Organization Active NPI

Lotus Place, LLC

  • Adult Mental Health Clinic/Center
  • Morgantown, WV
National Provider Identifier
1518303056
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1896 Issued in WV
Legal business name
LOTUS PLACE, LLC
Practice address
5000 Greenbag Road,
Unit E7
Morgantown, WV 26501-2411
Phone
(304) 612-1582
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Ms. Linda Sue Shreve, MS, LPC, NCC
Title
Psychotherapist
Phone
(304) 612-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1896 WV Primary

Addresses

Primary practice location

5000 Greenbag Road,
Unit E7
Morgantown, WV 26501-2411

Mailing address

5000 Greenbag Road, Unit E7
Mountaineer Mall
Morgantown, WV 26501
Phone (304) 612-1582

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1518303056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 GREENBAG ROAD, UNIT E7",
            "address_2": "MOUNTAINEER MALL",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-612-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GREENBAG ROAD,",
            "address_2": "UNIT E7",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012411",
            "telephone_number": "304-612-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "SHREVE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "304-612-1582",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WV",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.