Individual provider Active NPI

Christa Nicole Haney, MS

  • Mental Health Counselor
  • Oak Hill, WV
National Provider Identifier
1770272080
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3093 Issued in WV
Practice address
35 Edgewood Hills Rd
Oak Hill, WV 25901-9324
Phone
(304) 644-6620
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 31200 NC
Mental Health Counselor 101YM0800X 3093 WV Primary
Mental Health Counselor 101YM0800X TLC2699PC SC

Addresses

Primary practice location

35 Edgewood Hills Rd
Oak Hill, WV 25901-9324

Mailing address

35 Edgewood Hills Rd
Oak Hill, WV 25901-9324
Phone (304) 644-6620

Other practice location 1

940 W Lebanon St
Mount Airy, NC 27030-2222
Phone (336) 783-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204000160 WV Practitioner - Mental Health Counselor 5496117327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Clarksburg, WV 26301
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TLC2699PCSCMDMental Health Counselor
31200NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Winds of Change Recovery and Mental Health LLC CurrentSince May 7, 2023 Accepting new patients
Brightside Health, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

311 Prince St
Beckley, WV 25801
Phone (304) 953-3987

504 Emily Dr
Clarksburg, WV 26301
Phone (304) 404-4099

Organizations & group practices 2

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1770272080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EDGEWOOD HILLS RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259019324",
            "telephone_number": "304-644-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EDGEWOOD HILLS RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259019324",
            "telephone_number": "304-644-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W Lebanon St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270302222",
            "country_code": "US",
            "telephone_number": "336-783-6919",
            "fax_number": "336-783-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "CHRISTA",
        "middle_name": "NICOLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "31200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "3093",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "TLC2699PC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.