Active NPI
Linda M Gantt, PHD ATRBC
- Art Therapist
- Morgantown, WV
National Provider Identifier
1720164908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 79001
- Practice address
- 314 Scott Avenue
Morgantown, WV 26508 - Phone
- (304) 291-2912
- Fax
- (304) 291-2912
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PC001898 | PA | |
| Art Therapist | 221700000X | 79001 | NC | Primary |
Addresses
Primary practice location
314 Scott Avenue
Morgantown, WV 26508
Mailing address
314 Scott Avenue
Morgantown, WV 26508
Phone (304) 291-2912
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC001898 | PA | MD | Counseling Psychologist |
| 79001 | NC | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Trauma Therapy Inc | Counseling | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720164908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 SCOTT AVENUE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26508",
"telephone_number": "304-291-2912",
"fax_number": "304-291-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 SCOTT AVENUE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26508",
"telephone_number": "304-291-2912",
"fax_number": "304-291-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD ATRBC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PC001898",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NC",
"license": "79001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.