NPIMap

Individual provider Active NPI

Barbara Mactavious

  • Mental Health Counselor
  • St Thomas, VI
National Provider Identifier
1649702374
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
Barbel Plaza South
The Ross Building, First Floor
St. Thomas, VI 00802
Phone
(340) 774-7700
Fax
(340) 774-4701
NPI assigned
Mar 31, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

Barbel Plaza South
The Ross Building, First Floor
St. Thomas, VI 00802

Mailing address

Barbel Plaza South
The Ross Building, First Floor
St. Thomas, VI 00802
Phone (340) 774-7700

Other names 1

  • Barbraa Blyden Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1649702374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARBEL PLAZA SOUTH",
            "address_2": "THE ROSS BUILDING, FIRST FLOOR",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-7700",
            "fax_number": "340-774-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARBEL PLAZA SOUTH",
            "address_2": "THE ROSS BUILDING, FIRST FLOOR",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-7700",
            "fax_number": "340-774-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACTAVIOUS",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBRAA",
            "last_name": "BLYDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.