Active NPI
Worthington Mental Health Services, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parkersburg, WV
National Provider Identifier
1568541845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WORTHINGTON MENTAL HEALTH SERVICES, INC.
- Practice address
- 3194 Core Rd
Parkersburg, WV 26104-1556 - Phone
- (304) 485-0082
- Fax
- (304) 485-1373
- NPI assigned
- Nov 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracy S Wilson, DSN, C, CNS
- Title
- President
- Phone
- (304) 485-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3194 Core Rd
Parkersburg, WV 26104-1556
Mailing address
3199 Core Rd
Parkersburg, WV 26104-1557
Phone (304) 485-5185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004037 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568541845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3199 CORE RD",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041557",
"telephone_number": "304-485-5185",
"fax_number": "304-485-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3194 CORE RD",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041556",
"telephone_number": "304-485-0082",
"fax_number": "304-485-1373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORTHINGTON MENTAL HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-485-5185",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DSN, C, CNS"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004037",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
- Sharnell Dawn Workman, CMMP, LMT
- Worthington Behavioral Health, Inc
- Worthington Center Inc
- Worthington Center Inc
- Worthington Center Inc
- Worthington Mental Health, LLC
- Worthington Nursing & Rehabilitation Center LLC
- Worthington SNF LLC (Worthington Rehabilitation & Healthcare Center)
- Edna Kathryn Worthington, M. D.
- Wright Family Chiropractic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.