NPIMap

Organization Active NPI

Union Mission Behavioral Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, WV
National Provider Identifier
1780219857
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNION MISSION BEHAVIORAL CENTER
Practice address
705 S Park Rd
Charleston, WV 25304-2629
Phone
(304) 549-0366
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Ashley Smith, LPC
Title
Clinical Director
Phone
(304) 550-6849

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

705 S Park Rd
Charleston, WV 25304-2629

Mailing address

PO Box 112
Charleston, WV 25321-0112
Phone (304) 446-2336

Other identifiers 1

IdentifierTypeStateIssuer
484MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jason@umbhc.org Health Information Exchange (HIE)
Direct Messaging Address ashley@umbhc.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Union Mission Behavioral Center2 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.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1780219857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253210112",
            "telephone_number": "304-446-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S PARK RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042629",
            "telephone_number": "304-549-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MISSION BEHAVIORAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-550-6849",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason@umbhc.org",
            "affiliation": "N",
            "endpointDescription": "CEO Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 S Park Rd",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253042629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley@umbhc.org",
            "affiliation": "N",
            "endpointDescription": "Clinical Director Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 S Park Rd",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253042629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 18, 2023; 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.