Active NPI
Dreama Short Counseling Services
- Community/Behavioral Health Agency
- Shady Spring, WV
National Provider Identifier
1104165216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1361
- Legal business name
- DREAMA SHORT COUNSELING SERVICES
- Practice address
- 552 Cherry Creek Cir
Shady Spring, WV 25918-8723 - Phone
- (304) 763-7088
- NPI assigned
- Feb 8, 2013
- Last updated
- Feb 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dreama Short
- Title
- Licensed Professional Counselor
- Phone
- (304) 763-7088
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1361 | WV | Primary |
| Community/Behavioral Health Agency | 251S00000X | 1054 | WV |
Addresses
Primary practice location
552 Cherry Creek Cir
Shady Spring, WV 25918-8723
Mailing address
552 Cherry Creek Cir
Shady Spring, WV 25918-8723
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Cincinnati, OH
- NPI 1881933984
-
- Professional Counselor
- Shady Spring, WV
- NPI 1497094502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360281600000",
"number": "1104165216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 CHERRY CREEK CIR",
"city": "SHADY SPRING",
"state": "WV",
"postal_code": "259188723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 CHERRY CREEK CIR",
"city": "SHADY SPRING",
"state": "WV",
"postal_code": "259188723",
"telephone_number": "304-763-7088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAMA SHORT COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-08",
"last_updated": "2013-02-08",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "DREAMA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "304-763-7088"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WV",
"license": "1361",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WV",
"license": "1054",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shady Spring, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.