Active NPI
Advantage
- Community/Behavioral Health Agency
- Charleston, WV
National Provider Identifier
1669824561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 06-311
- Legal business name
- ADVANTAGE
- Practice address
- 606 Fort Hill Dr
Charleston, WV 25314-1070 - Phone
- (304) 346-8829
- Fax
- (304) 346-8829
- NPI assigned
- Jul 5, 2016
- 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. Marie A Estep, PH.D.
- Title
- Addictions Specialist
- Phone
- (304) 346-8829
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 22450179 | WV | |
| Community/Behavioral Health Agency | 251S00000X | 06-311 | WV | Primary |
Addresses
Primary practice location
606 Fort Hill Dr
Charleston, WV 25314-1070
Mailing address
2402 Kanawha Blvd E
Charleston, WV 25311-2323
Phone (304) 346-8829
National Provider Directory
National Provider Directory- Tax ID family
- Advantage
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1831543289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467676800000",
"number": "1669824561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 KANAWHA BLVD E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112323",
"telephone_number": "304-346-8829",
"fax_number": "304-346-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 FORT HILL DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141070",
"telephone_number": "304-346-8829",
"fax_number": "304-346-8829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-05",
"last_updated": "2016-07-05",
"status": "A",
"authorized_official_last_name": "ESTEP",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADDICTIONS SPECIALIST",
"authorized_official_telephone_number": "304-346-8829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WV",
"license": "22450179",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WV",
"license": "06-311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.