NPIMap

Organization Active NPI

Aaron Medina Counseling, LLC

  • Professional Counselor
  • Bridgeport, WV
National Provider Identifier
1154795359
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2064 Issued in WV
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.