Paulina Kristen Elmo, MSW, LGSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW041915059

Practice address

701 Benoni Ave
Fairmont, WV 26554-2508

Phone

(681) 404-6135

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1083284707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BENONI AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542508",
            "telephone_number": "681-404-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BENONI AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542508",
            "telephone_number": "681-404-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMO",
        "first_name": "PAULINA",
        "middle_name": "KRISTEN",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "BP00945952",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "SW041915059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elkins, PT, DPT
• Lindsay Elliott
• Brenda Ellis
• Christin Bailey Ellis, MS
• Emily Ellis
• Emergency Solutions Inc
• Rachel Marie Emrick, BS
• Valerie Lynn Enaire
• Hannah Epler
• Jeff Charles Erickson

• Mental Health Counselor in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.