Lotus Recovery Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOTUS RECOVERY CENTER LLC

Doing business as

Road to Wellness

Practice address

4202 Malden Dr
Malden, WV 25306-6442

Phone

(304) 928-5144

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Ann Toath, FNP-C

Title

Medical Director

Phone

(304) 928-5144

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Road to Wellness Doing business as

Electronic endpoints 3

Locations

Practitioners 1

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

• Roy Clifford Massey IV, PRSS

  • Peer Specialist
  • Malden, WV
  • NPI 1821700576
  NPD

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1902407034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8413",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253030413",
            "telephone_number": "304-928-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 MALDEN DR",
            "city": "MALDEN",
            "state": "WV",
            "postal_code": "253066442",
            "telephone_number": "304-928-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "TOATH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-928-5144",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JESSICA TOATH-CALLAHAN",
            "identifier": "1316593270",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902407034",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHELSEA LEIGH CARTER LICSW",
            "identifier": "DP00945150",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lotus.recovery@outlook",
            "affiliation": "N",
            "address_1": "438 Riviera Rd",
            "city": "Mount Nebo",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266798264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lotus.recovery@outlook",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "438 Riviera Rd",
            "city": "Mount Nebo",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266798264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lotus.recovery@outlook.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4202 Malden Dr",
            "city": "Malden",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253066442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Road to Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devon Louise Coutu
• Roy Clifford Massey IV, PRSS
• Wendy Perdue

• Community/Behavioral Health Agency in Malden, WV
• Providers in Malden, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.