Fit Mind Wellness Center, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

DP00945023 Issued in WV

Legal business name

FIT MIND WELLNESS CENTER, LLC

Doing business as

Fit Mind

Practice address

1017 6TH Ave
Huntington, WV 25701-2348

Phone

(681) 378-2134

NPI assigned

Jul 29, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer A Regan, LICSWNPI 1568808137

Title

Owner/Psychotherapist

Phone

(681) 378-2134

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fit Mind Doing business as

Locations

Practitioners 1

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

• Jennifer Ashley Regan, LICSW

  • Social Worker
  • Huntington, WV
  • NPI 1568808137
  NPD Authorized official

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1952889305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 6TH AVE STE 11",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012348",
            "telephone_number": "681-378-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012348",
            "telephone_number": "681-378-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT MIND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "681-378-2134",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WV",
            "license": "DP00945023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568808137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• First Settlement Phycial Therapy
• Alicia Gail Fisher
• Janet Fisher, RN
• John Fisher
• Sierra Fisher, BA
• Julie Fitchpatrick
• Payton Scott Fitchpatrick, MD
• Fiasili Fitisemanu-Bartram, PRSS
• Crystal L Fitz, NP-C
• Drew Cassidy Fitzpatrick

• Social Worker in Huntington, WV
• Providers in Huntington, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.