NPIMap

Organization Active NPI

Richard Hoffman

Doing business as Christian Counseling Associates of West Virginia

  • Clinical Social Worker
  • Moundsville, WV
National Provider Identifier
1073080453
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RICHARD HOFFMAN
Doing business as
Christian Counseling Associates of West Virginia
Richard Hoffman
Practice address
1801 1St St
Moundsville, WV 26041-1309
Phone
(304) 451-0677
Fax
(724) 972-4627
NPI assigned
Oct 24, 2018
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIAN COUNSELING ASSOCIATES OF WESTERN PENNSYLVANIA, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Dr. Richard HoffmanNPI 1538222534
Title
Clinical Director
Phone
(724) 396-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1801 1St St
Moundsville, WV 26041-1309

Mailing address

101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510

Other names 2

  • Christian Counseling Associates of West Virginia Doing business as
  • Richard Hoffman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190521001537 WV Part B Supplier - Clinic/Group Practice 7618137522 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheeling, WV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Richard Hoffman

    dba Christian Counseling Associates West Virginia

    • Professional Counselor
    • Moundsville, WV
    • NPI 1891262036

    O20190521001537

    Same enrollment

National Provider Directory

National Provider Directory
Tax ID family
Christian Counseling Associates of Western Pennsylvania26 organizations share this tax ID, including this one
Part of
Christian Counseling Associates of Western Pennsylvania

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1073080453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 1ST ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411309",
            "telephone_number": "304-451-0677",
            "fax_number": "724-972-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HOFFMAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN COUNSELING ASSOCIATES OF WESTERN PENNSYLVANIA, L.L.C.",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "724-396-1510",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Counseling Associates of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Richard Hoffman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.