Individual provider Active NPI

Amy Wade, M.A, LPC, NCC, CTT

  • Professional Counselor
  • Wheeling, WV
National Provider Identifier
1801309414
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1938 Issued in WV
Practice address
2204 Eoff Street
Wheeling, WV 26003
Phone
(304) 233-4435
Fax
(304) 233-4436
NPI assigned
Nov 6, 2017
Last updated
Jan 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1938 WV Primary

Addresses

Primary practice location

2204 Eoff Street
Wheeling, WV 26003

Mailing address

PO Box 6710
Wheeling, WV 26003
Phone (304) 233-4435

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
I20240201002575 WV Practitioner - Mental Health Counselor 7618320094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwood Health Systems IncGroup PAC ID 4880600048, 14 clinicians

Practice addresses (Care Compare)

1819 Wood St
Wheeling, WV 26003-3607
Phone 30423435002282

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Systems Inc CurrentSince Jan 1, 2024 Accepting new patients
Northwood Health Systems Inc CurrentSince Jan 1, 2024 Accepting new patients
Ohio Valley Guidance Services LLC Professional PastSince Dec 19, 2016 Accepting new patients

Locations

2121 Eoff St
Wheeling, WV 26003
Phone 30423435003246

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1801309414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6710",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-233-4435",
            "fax_number": "304-233-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 EOFF STREET",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-233-4435",
            "fax_number": "304-233-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "M.A, LPC, NCC, CTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.