Straight Gate, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

STRAIGHT GATE, INC.

Doing business as

12-2-1 Roundtables

Practice address

58 Grace Way
Elkins, WV 26241-1194

Phone

(304) 317-7776

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. James Garland Wilson III, BA, ADC-S

Title

Executive Director

Phone

(304) 317-7776

Specialties & licenses 1

Addresses

Other names 1

• 12-2-1 Roundtables Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1801508072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GRACE WAY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411194",
            "telephone_number": "304-317-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 GRACE WAY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411194",
            "telephone_number": "304-317-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT GATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GARLAND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-317-7776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "BA, ADC-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "58 Grace Way",
            "city": "Elkins",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262411194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "12-2-1 Roundtables",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lena Marie Stewart
• Miyah Stewart
• Lisa Stone
• Rachael Stone
• James Stout
• Michelle Dianne Streets, FNP
• Terrie A Strong
• Linda Studer
• Shalae Brooke Studer
• Peggy Stull, BS

• Addiction (Substance Use Disorder) Counselor in Elkins, WV
• Providers in Elkins, WV by specialty
• Addiction (Substance Use Disorder) Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.