Organization Active NPI

Montpelier Family Therapy LLC

  • Clinical Social Worker
  • Ashland, VA
National Provider Identifier
1639678360
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002416 Issued in VA
Legal business name
MONTPELIER FAMILY THERAPY LLC
Practice address
201 N Washington Hwy Ste 207
Ashland, VA 23005
Phone
(804) 258-3765
NPI assigned
Feb 8, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Wendy H. Haupt, LCSWNPI 1982612370
Title
Owner
Phone
(804) 258-3765

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
Clinical Social Worker 1041C0700X 0904002416 VA Primary

Addresses

Primary practice location

201 N Washington Hwy Ste 207
Ashland, VA 23005

Mailing address

201 N Washington Hwy Ste 207
Ashland, VA 23005-1643
Phone (804) 258-3765

Other identifiers 1

IdentifierTypeStateIssuer
VA008912319MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612000848 VA Part B Supplier - Clinic/Group Practice 8426303637 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, VA

National Provider Directory

National Provider Directory

Locations

201 N Washington Hwy
Ste 207
Ashland, VA 23005
Phone (804) 258-3765

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1639678360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY STE 207",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051643",
            "telephone_number": "804-258-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY STE 207",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "23005",
            "telephone_number": "804-258-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTPELIER FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-258-3765",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA008912319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.