Organization Active NPI

Mindease Solutions, LLC

  • Psychologist
  • Marlinton, WV
National Provider Identifier
1831590637
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1063 Issued in WV
Legal business name
MINDEASE SOLUTIONS, LLC
Practice address
132 Drennen Ridge Rd
Marlinton, WV 24954-6530
Phone
(304) 903-4774
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Ms. Angela Christine Hoffman, MANPI 1386846764
Title
Owner
Phone
(304) 903-4774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1063 WV Primary

Addresses

Primary practice location

132 Drennen Ridge Rd
Marlinton, WV 24954-6530

Mailing address

132 Drennen Ridge Rd
Marlinton, WV 24954-6530
Phone (304) 903-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220713002769 WV Part B Supplier - Clinic/Group Practice 4789065376 Receives reassigned benefits from 1 practitioner
Practice locations: Marlinton, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1831590637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DRENNEN RIDGE RD",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249546530",
            "telephone_number": "304-903-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DRENNEN RIDGE RD",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249546530",
            "telephone_number": "304-903-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEASE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-903-4774",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlinton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.