Individual provider Active NPI

Larry Hugh Robertson II, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1891336111
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
104731 Issued in WV
Practice address
55 Donohoe Dr
Huntington, WV 25705-8887
Phone
(304) 525-7851
NPI assigned
Oct 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104731 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 104731 WV Primary

Addresses

Primary practice location

55 Donohoe Dr
Huntington, WV 25705-8887

Mailing address

99 Cracker Barrel Dr Ste 100
Barboursville, WV 25504-1650
Phone (304) 525-7851

Other practice location 1

3738 Teays Valley Rd Ste B
Hurricane, WV 25526-9718
Phone (304) 525-7852

Other practice location 2

710 Viand St
Point Pleasant, WV 25550-1250
Phone (304) 525-7851

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220001466 WV Practitioner - Nurse Practitioner 9133553316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestera Center for Mental Health Services IncGroup PAC ID 9234029307, 45 clinicians

Practice addresses (Care Compare)

55 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 525-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104731WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestera Center for Mental Health Services Inc Family CurrentSince Nov 1, 2019 Accepting new patients
Prestera Center for Mental Health Services Inc Current Accepting new patients

Locations

99 Cracker Barrel Dr
Ste 100
Barboursville, WV 25504
Phone 30452578512514

25 Lincoln Plz
Branchland, WV 25506
Phone (304) 525-7854

376 Kenmore Dr
Danville, WV 25053
Phone (304) 369-1930

4020 US Route 60
Huntington, WV 25705
Phone (304) 399-1177

55 Donohoe Dr
Huntington, WV 25705

625 8th St
Huntington, WV 25701
Phone (681) 208-4535

710 Viand St
Point Pleasant, WV 25550
Phone 3045257851 ext. 3520

712 Main St
Pt Pleasant, WV 25550

Organizations & group practices 2

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1891336111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-525-7851",
            "fax_number": "304-697-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DONOHOE DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058887",
            "telephone_number": "304-525-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3738 Teays Valley Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255269718",
            "country_code": "US",
            "telephone_number": "304-525-7852",
            "fax_number": "304-525-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Viand St",
            "address_purpose": "LOCATION",
            "city": "Point Pleasant",
            "state": "WV",
            "postal_code": "255501250",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LARRY",
        "middle_name": "HUGH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104731",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "104731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.