Organization Active NPI

Integrative Counseling Solutions PLLC

  • Clinical Social Worker
  • Morgantown, WV
National Provider Identifier
1235666132
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRATIVE COUNSELING SOLUTIONS PLLC
Practice address
1762 Blue Horizon Dr
Morgantown, WV 26501-2280
Phone
(304) 685-4773
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Mrs. Michelle Lewis, MSW, LICSWNPI 1295260099
Title
Owner
Phone
(304) 685-4773

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
Clinical Social Worker 1041C0700X WV Primary

Addresses

Primary practice location

1762 Blue Horizon Dr
Morgantown, WV 26501-2280

Mailing address

104 Poplar Dr
Morgantown, WV 26505-2518
Phone (304) 685-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307001439 WV Part B Supplier - Clinic/Group Practice 4688935604 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

713 Greenbag Rd
Morgantown, WV 26508
Phone (304) 685-4773

713 Greenbag Rd
Unit 3
Morgantown, WV 26508
Phone (304) 379-7348

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1235666132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 POPLAR DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052518",
            "telephone_number": "304-685-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 BLUE HORIZON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012280",
            "telephone_number": "304-685-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-685-4773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.