PRESTERA CENTER FOR MENTAL HEALTH (NPI# 1356336903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356336903 |
| Entity Type | Organization |
| Organization Name | PRESTERA CENTER FOR MENTAL HEALTH |
| Practice Address |
3375 Us Rt 60 E Huntington WV 25705-0069 |
| Mailing Address |
3389 Winfield Rd P.o. Box 299 Winfield WV 25213 |
| Practice Telephone | 3045257851 |
| Practice Fax Number | 3045860671 |
| Mailing Telephone | 3045257851 |
| Mailing Fax Number | 3045860671 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | POLINA A BLAIR (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3045257851 |
| Authorized Official Credential | MS, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 288 | WV | Agencies |
| N | 273R00000X | Psychiatric Unit | 289 | WV | Hospital Units |
| Y | 251S00000X | Community/Behavioral Health | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BHHF | 3810022070 | 01 |
| WV | 0005355002 | 05 | |
| WV | BCBS CRU 273R0000X | 001703803 | 01 |
| OH | 0991575 | 05 | |
| WV | BCBS OUTPATIENT | 001703804 | 01 |
| WV | LICENSE | BP00944410 | 01 |
| Street Address |
3375 US RT 60 E |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25705-0069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720453459 | Melissa Dawn Stephens | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2015-12-07 |
| 1689046229 | Leah M Losh | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705 | 2015-10-22 |
| 1437551280 | Jessica A Hewitt | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705 | 2014-09-24 |
| 1164830618 | Amy M Connelly | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705-0069 | 2014-07-29 |
| 1245648898 | Leslie Ann Bolden | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705-0009 | 2014-07-28 |
| 1588817415 | Justin Travis Gibson | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2008-10-23 |
| 1871558841 | Willard A Sheets | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664010 | Jessica Ann Richmond | Pharmacist | 3333 Us-60, Huntington, WV 25705 | 2020-09-18 |
| 1407418718 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 3377 60 E, Huntington, WV 25705 | 2019-07-08 |
| 1508347238 | Catherine Lea Chapman | Family Medicine | 1530 Norway Ave - Mildred Mitchel Bateman Hospital, Huntington, WV 25705 | 2018-08-21 |
| 1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
| 1407358120 | Sara Megan Hensley | Registered Nurse | 4 Rujon Dr, Huntington, WV 25705 | 2018-03-08 |
| 1104332329 | Brenda Joyce Lemaster | Technician | 5226 Irwin Road, Huntington, WV 25705 | 2017-12-26 |
| 1750824033 | Chad Butler | Pharmacist | 3377 Route 60 East, Huntington, WV 25705 | 2016-11-18 |
| 1952769549 | Tonya Lynn Holley | Nurse Practitioner | 3375 Us 60, Huntington, WV 25705 | 2016-02-10 |
| 1609262930 | Jenny Ann Kerr | Social Worker | 3375 Us Rt 60 East, Huntington, WV 25705 | 2015-04-14 |
| 1093117566 | Starlight Behavioral Health Services Inc | Community/Behavioral Health | 5315 Cherry Lawn Rd, Huntington, WV 25705 | 2014-09-16 |
| Find all providers in zip 25705 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639683725 | Ohio Valley Physicians Inc | Community/Behavioral Health | 300b 8th St Ste 201, Huntington, WV 25701-1413 | 2017-11-28 |
| 1033581517 | Pederson-krag Center | Community/Behavioral Health | 8 Chester Ct, Huntington, NY 11743-5834 | 2015-10-23 |
| 1093117566 | Starlight Behavioral Health Services Inc | Community/Behavioral Health | 5315 Cherry Lawn Rd, Huntington, WV 25705 | 2014-09-16 |
| 1316212830 | Helping Hands Consultation Services | Community/Behavioral Health | 160 E Main St Ste 3, Huntington, NY 11743-7401 | 2012-03-16 |
| 1114248861 | Goodwill Industries of Kyowva Area, Inc. Family Service Division | Community/Behavioral Health | 1102 Memorial Blvd. W, Huntington, WV 25701 | 2010-06-17 |
| 1063610459 | Family Service League | Community/Behavioral Health | 790 Park Avenue, Huntington, NY 11721 | 2007-07-06 |
| 1912119454 | Huntington Youth Bureau Youth Development Research Insitute, Inc. | Community/Behavioral Health | 423 Park Avenue, Huntington, NY 11743 | 2007-05-04 |
| 1760006407 | Ten Up Ministries, Inc | Community/Behavioral Health | 335 4th Ave, Huntington, WV 25701-1223 | 2020-05-28 |
| 1871143156 | Diversified Assessment & Therapy Services | Community/Behavioral Health | 4614 Waverly Rd, Huntington, WV 25704-1039 | 2019-09-18 |
| 1790242055 | Tri-state Addiction Recovery Resources | Community/Behavioral Health | 537 Washington Ave, Huntington, WV 25701-1039 | 2019-02-22 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25705 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.