Organization Active NPI

Faith Healthcare and Healing, LLC

  • Community/Behavioral Health Agency
  • Point Pleasant, WV
National Provider Identifier
1912748211
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAITH HEALTHCARE AND HEALING, LLC
Practice address
610 1/2
Point Pleasant, WV 25550-1121
Phone
(304) 812-5426
Fax
(304) 812-5427
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Jessica QueenNPI 1972119923
Title
Owner/Therapist
Phone
(304) 812-5426

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

610 1/2
Point Pleasant, WV 25550-1121

Mailing address

8674 Black Oak Road
Fraziers Bottom, WV 25082
Phone (304) 812-5426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260421002419 WV Part B Supplier - Clinic/Group Practice 0547736050 Receives reassigned benefits from 1 practitioner
Practice locations: Point Pleasant, WV

National Provider Directory

National Provider Directory

Locations

610 Main St
Ste F
Pt Pleasant, WV 25550
Phone (304) 812-5426

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1912748211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8674 BLACK OAK ROAD",
            "city": "FRAZIERS BOTTOM",
            "state": "WV",
            "postal_code": "25082",
            "telephone_number": "304-812-5426",
            "fax_number": "304-812-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 1/2",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501121",
            "telephone_number": "304-812-5426",
            "fax_number": "304-812-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTHCARE AND HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "304-812-5426"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.