Individual provider Active NPI

Fannie Elaine Loughridge, MA LPC ADC

  • Mental Health Counselor
  • Barboursville, WV
National Provider Identifier
1831198662
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
642 Brady St
Barboursville, WV 25504-1340
Phone
(304) 733-1833
Fax
(304) 733-4833
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

642 Brady St
Barboursville, WV 25504-1340

Mailing address

PO Box 283
Barboursville, WV 25504-0283
Phone (304) 733-1833

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
I20240326001276 WV Practitioner - Mental Health Counselor 3476657941 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

Practice addresses (Care Compare)

642 Brady St
Barboursville, WV 25504-1340
Phone (304) 733-1833

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loughridge Counseling Services LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

701 Main St
Barboursville, WV 25504
Phone (304) 302-0707

642 Brady St
Barboursville, WV 25504
Phone (304) 733-1833

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1831198662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255040283",
            "telephone_number": "304-733-1833",
            "fax_number": "304-733-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 BRADY ST",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041340",
            "telephone_number": "304-733-1833",
            "fax_number": "304-733-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHRIDGE",
        "first_name": "FANNIE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MA LPC ADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.