Graceway Counseling Services LLC
NPI 1003405978ActiveOrganization· Nurse Practitioner, Family· Huntington, WV
Nurse Practitioner, Family in Huntington, West Virginia, registered in NPPES in January 2021. The authorized official on file is Matthew Maynard, MA, NCC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003405978 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2021 |
| Last updated in NPPES | Sep 5, 2024 |
| Certified by provider | Sep 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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