Active NPI
Beatriz Cedeno, PROVISIONAL LICENSE
- Professional Counselor
- Fairmont, WV
National Provider Identifier
1023894516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 207 Fairmont Ave
Fairmont, WV 26554-2710 - Phone
- (681) 404-6869
- NPI assigned
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
207 Fairmont Ave
Fairmont, WV 26554-2710
Mailing address
207 Fairmont Ave
Fairmont, WV 26554-2710
Phone (681) 404-6869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Fairmont Ave
Fairmont, WV 26554-2710
Phone (689) 404-6869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling Center LLC | Mental Health | Current | Accepting new patients |
Locations
207 Fairmont Ave
Fairmont, WV 26554
Phone (681) 404-6869
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1023894516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542710",
"telephone_number": "681-404-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542710",
"telephone_number": "681-404-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDENO",
"first_name": "BEATRIZ",
"credential": "PROVISIONAL LICENSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2023-09-06",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.