Active NPI
Priscilla F Leavitt, PHD
- Counseling Psychologist
- Parkersburg, WV
National Provider Identifier
1790741577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 414
- Practice address
- 936 Market St
Parkersburg, WV 26101 - Phone
- (304) 422-7300
- Fax
- (304) 428-3719
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 414 | WV | Primary |
Addresses
Primary practice location
936 Market St
Parkersburg, WV 26101
Mailing address
936 Market St
Parkersburg, WV 26101
Phone (304) 422-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162899000 | Medicaid | WV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
936 Market St
Parkersburg, WV 26101-4795
Phone (304) 422-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 414 | WV | MD | Counseling Psychologist |
| 414 | OH | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Wellness Center LLC | Counseling | Current | Accepting new patients |
Locations
936 Market St
Parkersburg, WV 26101
Phone (304) 422-7300
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.
-
- Counseling Psychologist
- Parkersburg, WV
- NPI 1184069668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1790741577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 MARKET ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "26101",
"telephone_number": "304-422-7300",
"fax_number": "304-428-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 MARKET ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "26101",
"telephone_number": "304-422-7300",
"fax_number": "304-428-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "PRISCILLA",
"middle_name": "F",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WV",
"license": "414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162899000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.