Lifeline Addiction Specialists, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LIFELINE ADDICTION SPECIALISTS, PLLC

Practice address

237 Kruger St
Wheeling, WV 26003-5174

Phone

(412) 983-9849

NPI assigned

Mar 31, 2017

Last updated

Dec 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leigh Ann Harvey

Title

Director

Phone

(681) 207-7105

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Angela Richmond, APRN-BC

  • Family Nurse Practitioner
  • Summersville, WV
  • NPI 1518552926
  Medicare reassignment Care Compare group NPD
• Russell Libiore Adams, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Pittsburgh, PA
  • NPI 1134191224

  WV

  Medicare reassignment Care Compare group NPD
• Joy B Groves, APMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beckley, WV
  • NPI 1740244185
  Medicare reassignment NPD
• Traci Lynn Morris, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Beckley, WV
  • NPI 1043564636
  Medicare reassignment NPD
• Kristy Lynn Dobson, NP

  • Family Nurse Practitioner
  • Cadiz, OH
  • NPI 1801184833

  WV

  Medicare reassignment NPD
• Melissa L Clary, PA-C

  • Medical Physician Assistant
  • Charlotte, NC
  • NPI 1194807651

  WV

  Medicare reassignment
• Kelly A Lopez, APRN, FNP-BC

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1588170815

  WV

  Medicare reassignment

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1568994259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N EISENHOWER DR",
            "address_2": "SUITE B",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013109",
            "telephone_number": "681-207-7105",
            "fax_number": "681-207-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 KRUGER ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035174",
            "telephone_number": "412-983-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Eisenhower Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013109",
            "country_code": "US",
            "telephone_number": "681-207-7105 x116",
            "fax_number": "681-207-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Northside Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266512032",
            "country_code": "US",
            "telephone_number": "681-207-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELINE ADDICTION SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "681-207-7105"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Lere, PA-C
• Kara L Leslie, MD
• Stacey Ann Lewis
• Zaharia Lewis
• Brandon S Lichtman, AUD
• Jacinta Lightner
• Angela Rosemary Linabarger
• Vincent Linberg, D.O.
• Lincare Inc
• David Jonathan Lindert, M.D.

• Multi-Specialty Clinic/Center in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Multi-Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.