Organization Active NPI

Advantage

  • Community/Behavioral Health Agency
  • Charleston, WV
National Provider Identifier
1669824561
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
06-311 Issued in WV
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

Updated by the provider on Jul 5, 2016

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)CodeLicenseStatePrimary
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
Advantage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.