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SOUTHERN HIGHLANDS
NPI 1366370090
Counselor in Princeton, WV

Active since May 12, 2026CLIA 51D1048694 · Waiver
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Highlands NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN HIGHLANDS (NPI 1366370090) is a healthcare organization registered as a counselor in Princeton, West Virginia and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Andrea Renae Washington, Counselor, as its authorized official.

NPPES Registry Identity

NPI1366370090
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameSOUTHERN HIGHLANDS
Location Address200 12TH STREET EXTPrinceton, WV 24740-2398
Mailing Address413 Wiley StPrinceton, WV 24740-3432 · (304) 972-7362
Phone(304) 425-9541
Organization SubpartNo
Authorized OfficialAndrea Renae WashingtonCounselor · (304) 425-9541
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1366370090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
200 12TH STREET EXT, Princeton, WV 24740
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 51D1048694

Southern Highlands Community Mental Health Ctr Mercer Mcdowell Wyoming Mental Health Council Inc · Princeton, WV
Active · expires Dec 7, 2027
CLIA Number51D1048694
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorLisa L. Jones
Laboratory Phone(304) 425-9541
Laboratory LocationSouthern Highlands Community Mental Health Ctr Mercer Mcdowell Wyoming Mental Health Council Inc200 12th Street Extension, Princeton, WV 24740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY MCGEE PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
DIANNA MICHELLE CANTRELL RBA, MS
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 436-2107
MICHAEL MEADOWS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
CHRIS WILLIAMS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
AMY ENGLAND
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
MICHELLE COOPER
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (276) 722-2662
MICHAEL HOLMES PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
JABEZ R ANDERSON BA, BSPI
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541

Frequently 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 Southern Highlands's NPI number?

The NPI number for Southern Highlands is 1366370090. It was assigned to this organization in the NPPES registry on May 12, 2026.

Where is Southern Highlands located?

Southern Highlands is located at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Southern Highlands's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Does Southern Highlands hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1048694) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Highlands was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.