Organization Active NPI

West Virginia Integrative Psychological and Wellness, PLLC

  • Psychologist
  • Uneeda, WV
National Provider Identifier
1700710290
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WEST VIRGINIA INTEGRATIVE PSYCHOLOGICAL AND WELLNESS, PLLC
Practice address
74 Brown Avenue
Uneeda, WV 25205-0775
Phone
(304) 687-3606
NPI assigned
Jun 10, 2026
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Monica Ballard-Booth, LP, LSW
Title
Owner
Phone
(304) 687-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

74 Brown Avenue
Uneeda, WV 25205-0775

Mailing address

PO Box 775
Uneeda, WV 25205-0775
Phone (304) 687-3606

Other practice location 1

331 State St Ste 300
Madison, WV 25130-1384
Phone (304) 369-5283

Other practice location 2

500 Tom Price Br
Madison, WV 25130-9005
Phone (304) 369-5283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1700710290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "UNEEDA",
            "state": "WV",
            "postal_code": "252050775",
            "telephone_number": "304-687-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BROWN AVENUE",
            "city": "UNEEDA",
            "state": "WV",
            "postal_code": "252050775",
            "telephone_number": "304-687-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 State St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WV",
            "postal_code": "251301384",
            "country_code": "US",
            "telephone_number": "304-369-5283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Tom Price Br",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WV",
            "postal_code": "251309005",
            "country_code": "US",
            "telephone_number": "304-369-5283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST VIRGINIA INTEGRATIVE PSYCHOLOGICAL AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BALLARD-BOOTH",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-687-3606",
        "authorized_official_credential": "LP, LSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uneeda, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.