Provider Demographics
NPI:1497733430
Name:ADKINS, JANET WEEKLEY (MA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:WEEKLEY
Last Name:ADKINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:INEZ
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-0196
Mailing Address - Country:US
Mailing Address - Phone:304-522-9555
Mailing Address - Fax:304-522-9555
Practice Address - Street 1:6351 US ROUTE 60 E
Practice Address - Street 2:JOHNSON PLAZA, SUITE 2A
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1233
Practice Address - Country:US
Practice Address - Phone:304-522-9555
Practice Address - Fax:304-522-9555
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV565103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2330472Medicaid
WV5930OtherAPS AGENCY PROVIDER #
WV6435916OtherCIGNA BEHAVIORAL HEALTH
WV1053268OtherWORKER'S COMP. VENDOR
WV1194283OtherCHA HEALTH PROVIDER #
WV84196OtherOPTUM/UNITED HEALTH CARE
WV00170580OtherBLUE CROSS/BLUE SHIELD
WV0164237000Medicaid
WV0024520AOtherWV SOCSECDISABILITY VENDO
WV84196OtherOPTUM/UNITED HEALTH CARE
WV5930OtherAPS AGENCY PROVIDER #