Individual provider Active NPI

Linda M Goad, LPC

  • Professional Counselor
  • Hurricane, WV
National Provider Identifier
1639444151
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2023 Issued in WV
Practice address
3566 Teays Valley Rd Ste 2
Hurricane, WV 25526-9090
Phone
(304) 545-0033
Fax
(864) 484-8751
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2023 WV
Professional Counselor 101YP2500X 2023 WV Primary

Addresses

Primary practice location

3566 Teays Valley Rd Ste 2
Hurricane, WV 25526-9090

Mailing address

3566 Teays Valley Rd Ste 2
Hurricane, WV 25526-9090
Phone (304) 545-0033

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL valantmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2023WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True Vine LLC Mental Health CurrentSince Apr 5, 2020 Accepting new patients

Locations

3566 Teays Valley Rd
Ste 2
Hurricane, WV 25526
Phone (304) 545-0033

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1639444151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 TEAYS VALLEY RD STE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269090",
            "telephone_number": "304-545-0033",
            "fax_number": "864-484-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 TEAYS VALLEY RD STE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269090",
            "telephone_number": "304-545-0033",
            "fax_number": "864-484-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOAD",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2023",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "valantmed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3566 Teays Valley Rd Ste 2",
            "city": "Hurricane",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255269090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.