New Martinsville Counseling Center Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00939169 Issued in WV

Legal business name

NEW MARTINSVILLE COUNSELING CENTER INC.

Practice address

525 Third St.
New Martinsville, WV 26155

Phone

(304) 455-6505

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lya Burgess, MSW, ACSW, LICSW

Title

Owner/ Therapist

Phone

(304) 455-6505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1083805055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 N STATE ROUTE 2 # 120",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552241",
            "telephone_number": "304-455-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 THIRD ST.",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MARTINSVILLE COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "LYA",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "304-455-6505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, ACSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Nelson, PHARMD
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• New Martinsville Dental PLLC
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• New Martinsville Volunteer Fire Department, Inc.
• Darlene Marie Newell, MSW, LGSW
• Tabitha Danielle Newlen

• Clinical Social Worker in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.