Individual provider Active NPI

Aleisha Gail Arbogast, M.A.

  • Clinical Psychologist
  • Elkins, WV
National Provider Identifier
1790059152
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1008 Issued in WV
Practice address
240 Allegheny Hwy
Elkins, WV 26241-5749
Phone
(304) 636-0133
NPI assigned
Mar 2, 2012
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1008 WV Primary

Addresses

Primary practice location

240 Allegheny Hwy
Elkins, WV 26241-5749

Mailing address

PO Box 97
Valley Head, WV 26294-0097
Phone (304) 339-3318

Other practice location 1

1500 Harrison Ave Ste 1
Elkins, WV 26241-3492
Phone (304) 637-2260

Other practice location 2

46 Town Center Plz Ste A
Mill Creek, WV 26280-9752
Phone (304) 335-2050

Other identifiers 1

IdentifierTypeStateIssuer
1790059152MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SFTP.ATHENAHHEALTH.COM Health Information Exchange (HIE)

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
I20130815000754 WV Practitioner - Clinical Psychologist 0648412916 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1008WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care, Inc Current Accepting new patients
Clear Creek Counseling PLLC Clinical PastSince Jun 18, 2013 Accepting new patients

Locations

105 Nathan St
Elkins, WV 26241
Phone (304) 636-0133

240 Allegheny Hwy
Elkins, WV 26241
Phone (304) 636-0133

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1790059152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "VALLEY HEAD",
            "state": "WV",
            "postal_code": "262940097",
            "telephone_number": "304-339-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262415749",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Harrison Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413492",
            "country_code": "US",
            "telephone_number": "304-637-2260",
            "fax_number": "304-637-2680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Town Center Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WV",
            "postal_code": "262809752",
            "country_code": "US",
            "telephone_number": "304-335-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBOGAST",
        "first_name": "ALEISHA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790059152",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SFTP.ATHENAHHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "AHTENA HEALTH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SFTP",
            "address_1": "240 Allegheny Hwy",
            "city": "Elkins",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262415749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.