Synergy Integrative Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BP00944922 Issued in WV

Legal business name

SYNERGY INTEGRATIVE COUNSELING SERVICES LLC

Practice address

379 Dean Dr
Fairmont, WV 26554-8858

Phone

(304) 366-7288

NPI assigned

Nov 14, 2016

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Charles Richards, LGSWNPI 1013454636

Title

Counselor

Phone

(304) 366-7288

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Charles Richards, LGSW

  • Clinical Social Worker
  • Fairmont, WV
  • NPI 1013454636
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1013459627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 DEAN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548858",
            "telephone_number": "304-366-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 DEAN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548858",
            "telephone_number": "304-366-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY INTEGRATIVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "304-366-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "BP00944922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Swiger
• William Swiger
• Patricia Ann Swisher
• Joclyn Lee Sylva
• James Allen Symenski Jr.
• Beth Ann Sypult, MS, P-LPC
• Miranda Beth Talkington
• Traci Layne Tannehill, FNP-BC
• Task Force on Deomestic Violence, 'Hope, Inc'
• Hailee Kathlyne Tate

• Community/Behavioral Health Agency in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.