Organization Active NPI

My Choice Case Management

  • Case Management Agency
  • Ravenswood, WV
National Provider Identifier
1558068007
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MY CHOICE CASE MANAGEMENT
Practice address
108 Royal St Ste a
Ravenswood, WV 26164-1724
Phone
(304) 440-4037
NPI assigned
Feb 14, 2023
Organization subpart
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

Authorized official

Name
Jessica LemleyNPI 1205439940
Title
Co-Director
Phone
(304) 440-4037

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

108 Royal St Ste a
Ravenswood, WV 26164-1724

Mailing address

108 Royal St Ste a
Ravenswood, WV 26164-1724
Phone (304) 440-4037

Other identifiers 1

IdentifierTypeStateIssuer
364676MedicaidWV

National Provider Directory

National Provider Directory

Locations

108 Royal St
Ste A
Ravenswood, WV 26164
Phone (304) 440-4037

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1558068007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ROYAL ST STE A",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641724",
            "telephone_number": "304-440-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROYAL ST STE A",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641724",
            "telephone_number": "304-440-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHOICE CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "LEMLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "304-440-4037"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364676",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenswood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.