GRACEWAY COUNSELING CENTER
NPI 1003405978
Nurse Practitioner - Family in Huntington, WV
About Graceway Counseling Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACEWAY COUNSELING CENTER (NPI 1003405978) is a healthcare organization registered as a family in Huntington, West Virginia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through September 26, 2027, maintains a secondary practice location in Huntington, and lists Matthew Maynard, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Graceway Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Graceway Counseling Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 51D2290531
Graceway Counseling Center · Huntington, WVFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Graceway Counseling Services LLC's NPI number?
The NPI number for Graceway Counseling Services LLC is 1003405978. It was assigned to this organization in the NPPES registry on January 14, 2021. The provider is doing business as Graceway Counseling Center.
Where is Graceway Counseling Services LLC located?
Graceway Counseling Services LLC is located at 744 4th Ave Ste 2, Huntington, WV 25701. The listed phone number is (304) 691-0873.
What is Graceway Counseling Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Graceway Counseling Services LLC enrolled in Medicare?
Yes. Graceway Counseling Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Graceway Counseling Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Graceway Counseling Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (7) and Nurse Practitioner (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Graceway Counseling Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D2290531) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Graceway Counseling Services LLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Graceway Counseling Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Graceway Counseling Services LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Graceway Counseling Center · NPI 1003405978
Family organization in Huntington, West Virginia. Organization record, active in the CMS NPPES registry since January 14, 2021.
## Identity
- **NPI:** 1003405978 (Entity type: Organization)
- **Enumerated:** January 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Graceway Counseling Services Llc
- **Organization subpart:** No
- **Authorized official:** Matthew Maynard, OWNER
## Practice location
- **Address:** 744 4TH AVE STE 2, Huntington, WV 25701-1541
- **Phone:** (304) 691-0873 · **Fax:** (304) 955-9057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (7), Nurse Practitioner (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003405978) · Data from the CMS NPPES public registry.