Active NPI
Aaron Medina Counseling, LLC
- Professional Counselor
- Bridgeport, WV
National Provider Identifier
1154795359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2064
- Legal business name
- AARON MEDINA COUNSELING, LLC
- Practice address
- 113 State St
Bridgeport, WV 26330-1375 - Phone
- (304) 842-3404
- NPI assigned
- Nov 25, 2015
- Last updated
- Nov 25, 2015
- 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
- Mr. Aaron C Medina, MA, LPC, ALPS
- Title
- Owner/Therapist
- Phone
- (304) 842-3404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2064 | WV | Primary |
Addresses
Primary practice location
113 State St
Bridgeport, WV 26330-1375
Mailing address
314 Gooseman Rd
Jane Lew, WV 26378-6994
Phone (304) 841-7388
National Provider Directory
National Provider DirectoryLocations
113 State St
Bridgeport, WV 26330
Phone (304) 842-3404
314 Gooseman Rd
Jane Lew, WV 26378
Practitioners & 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
- Bridgeport, WV
- NPI 1619417219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448409600000",
"number": "1154795359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 GOOSEMAN RD",
"city": "JANE LEW",
"state": "WV",
"postal_code": "263786994",
"telephone_number": "304-841-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 STATE ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301375",
"telephone_number": "304-842-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AARON MEDINA COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-25",
"last_updated": "2015-11-25",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "304-842-3404",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LPC, ALPS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.