NPIMap

Organization Active NPI

Counseling and Wellness Center LLC

  • Counseling Psychologist
  • Parkersburg, WV
National Provider Identifier
1184069668
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
78679 Issued in WV
Legal business name
COUNSELING AND WELLNESS CENTER LLC
Practice address
936 Market St
Parkersburg, WV 26101-4737
Phone
(304) 422-7300
Fax
(304) 428-3719
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Osric Malone Prioleau, FNPNPI 1932416179
Title
Clinical Director
Phone
(304) 422-7300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 78679 WV Primary

Addresses

Primary practice location

936 Market St
Parkersburg, WV 26101-4737

Mailing address

936 Market St
Parkersburg, WV 26101-4737
Phone (304) 422-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000870 WV Part B Supplier - Clinic/Group Practice 5395983126 Receives reassigned benefits from 21 practitioners
Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

936 Market St
Parkersburg, WV 26101
Phone (304) 422-7300

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1184069668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MARKET ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014737",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MARKET ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014737",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "MALONE PRIOLEAU",
        "authorized_official_first_name": "OSRIC",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-422-7300",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "78679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.