SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1740234673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740234673 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. |
| Other Organization Name | SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
200 12th Street Extension Princeton WV 24740-2329 |
| Practice Telephone | 3044259541 |
| Practice Fax Number | 3044312856 |
| Mailing Telephone | 3044259541 |
| Mailing Fax Number | 3044312856 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | MS. JUDY L. AKERS (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3048182200 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 019 | WV | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
019 | WV | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
019 | WV | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
019 | WV | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
019 | WV | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
019 | WV | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
019 | WV | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 019 | WV | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0191 | WV | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 019 | WV | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | 019 | WV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005489001 | 05 | |
| WV | 0005489002 | 05 | |
| WV | 0005489000 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Highlands Community Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476488 | Southern Highlands Community Mental Health Center, Inc. | Clinic/Center | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-01-15 |
| 1992059745 | Southern Highlands Community Mental Health Center, Inc. | Counselor | 200 12th Street Ext, Princeton, WV 24740-2329 | 2012-11-01 |
| 1871863134 | Southern Highlands Community Mental Health Center, Inc. | Counselor | 200 12th Street Ext, Princeton, WV 24740-2329 | 2012-01-04 |
| 1962772228 | Southern Highlands Community Mental Health Center, Inc. | Counselor | 200 12th Street Ext, Princeton, WV 24740-2329 | 2012-01-04 |
| 1235409590 | Southern Highlands Community Mental Health Center, Inc. | Counselor | 200 12th Street Ext, Princeton, WV 24740-2329 | 2012-01-04 |
| Street Address |
200 12TH STREET EXTENSION |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558592212 | Staci Lyn Linkous | Physician Assistant | 200 12th Street Extension, Princeton, WV 24740-2329 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| 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 |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1841858222 | Kt Psychotherapy LLC | Community/Behavioral Health | 100 Overlook Ctr Fl 2, Princeton, NJ 08540-7814 | 2019-05-31 |
| 1386127967 | L Consultancy LLC | Community/Behavioral Health | 465 Meadow Rd Apt 9205, Princeton, NJ 08540-6364 | 2018-09-11 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1669981197 | Apluscare, LLC | Community/Behavioral Health | 108 Wrangel Ct, Princeton, NJ 08540-7096 | 2017-09-27 |
| 1417477746 | Serv Achievement Centers Inc | Community/Behavioral Health | 16 Gulick Rd, Princeton, NJ 08540-4112 | 2017-06-27 |
| 1225572183 | Kidz Can Corporation | Community/Behavioral Health | 101 York Dr, Princeton, NJ 08540-7946 | 2016-12-12 |
| 1548619711 | Princeton Center for Therapy & Assessment LLC | Community/Behavioral Health | 221 Witherspoon St, Suite 201, Princeton, NJ 08542-3240 | 2016-06-08 |
| 1023499845 | Arc Mercer, Inc | Community/Behavioral Health | 211 Mandon Ct, Princeton, NJ 08540-9549 | 2015-06-17 |
| 1295144897 | Rescare Behavior Services, Inc. | Community/Behavioral Health | 712 Mercer St, Princeton, WV 24740-3114 | 2014-08-07 |
| Find all providers in PRINCETON | ||||
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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.