Active NPI
Anna Maria Klosek, MA, EDS, LPC, LCMHC
- Counselor
- Vienna, WV
National Provider Identifier
1043536857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2458
- Practice address
- 1307 16TH St
Vienna, WV 26105-1201 - Phone
- (304) 282-0354
- NPI assigned
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7199 | NC | |
| Counselor | 101Y00000X | 2458 | WV | Primary |
Addresses
Primary practice location
1307 16TH St
Vienna, WV 26105-1201
Mailing address
1307 16TH St
Vienna, WV 26105-1201
Phone (304) 282-0354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2458 | WV | MD | Counselor |
| 7199 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Clear Word Counseling Center | Past | Accepting new patients |
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.
-
- Professional Counselor
- Hendersonville, NC
- NPI 1184955312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1043536857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 16TH ST",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051201",
"telephone_number": "304-282-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 16TH ST",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051201",
"telephone_number": "304-282-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOSEK",
"first_name": "ANNA",
"middle_name": "MARIA",
"credential": "MA, EDS, LPC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "7199",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WV",
"license": "2458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.