Individual provider Active NPI

Evangeline Miller Reed

  • Mental Health Counselor
  • Beckley, WV
National Provider Identifier
1952902348
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AP00940974 Issued in WV
Practice address
525 Dry Hill Rd
Beckley, WV 25801-2027
Phone
(304) 719-7272
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AP00940974 WV Primary

Addresses

Primary practice location

525 Dry Hill Rd
Beckley, WV 25801-2027

Mailing address

PO Box 2143
Beckley, WV 25802-2143
Phone (304) 719-7272

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Beckley Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP00940974WVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1952902348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2143",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258022143",
            "telephone_number": "304-719-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DRY HILL RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012027",
            "telephone_number": "304-719-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "EVANGELINE",
        "middle_name": "MILLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "AP00940974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Beckley",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "services",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "as necessary",
            "address_1": "525 Dry Hill Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258012027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.