NPIMap

Organization Active NPI

Family & Marital Counseling Center, Inc.

  • Psychologist
  • Clarksburg, WV
National Provider Identifier
1124433511
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FAMILY & MARITAL COUNSELING CENTER, INC.
Practice address
321 W Main St
Suite 400
Clarksburg, WV 26301-2929
Phone
(304) 622-5323
Fax
(304) 622-5324
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Donald E Worth, PH.D.
Title
Owner
Phone
(304) 622-5323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

321 W Main St
Suite 400
Clarksburg, WV 26301-2929

Mailing address

321 W Main St
Suite 400
Clarksburg, WV 26301-2929
Phone (304) 622-5323

National Provider Directory

National Provider Directory
Tax ID family
Family Marital Counseli2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1124433511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W MAIN ST",
            "address_2": "SUITE 400",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012929",
            "telephone_number": "304-622-5323",
            "fax_number": "304-622-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W MAIN ST",
            "address_2": "SUITE 400",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012929",
            "telephone_number": "304-622-5323",
            "fax_number": "304-622-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & MARITAL COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-622-5323",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.