Organization Active NPI

Loughridge Counseling Services LLC

  • Professional Counselor
  • Barboursville, WV
National Provider Identifier
1285761049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1699 Issued in WV
Legal business name
LOUGHRIDGE COUNSELING SERVICES LLC
Practice address
701 Main St
Barboursville, WV 25504-1406
Phone
(304) 733-1833
Fax
(304) 733-4833
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Fannie Elaine Loughridge, MA, LPC, CACNPI 1831198662
Title
Licensed Counselor
Phone
(304) 733-1833

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1699 WV Primary

Addresses

Primary practice location

701 Main St
Barboursville, WV 25504-1406

Mailing address

PO Box 283
Barboursville, WV 25504-0283
Phone (304) 733-1833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326001121 WV Part B Supplier - Clinic/Group Practice 5092152017 Receives reassigned benefits from 1 practitioner
Practice locations: Barboursville, WV

National Provider Directory

National Provider Directory

Locations

642 Brady St
Barboursville, WV 25504
Phone (304) 733-1833

701 Main St
Barboursville, WV 25504
Phone (304) 302-0707

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285761049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255040283",
            "telephone_number": "304-733-1833",
            "fax_number": "304-733-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MAIN ST",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041406",
            "telephone_number": "304-733-1833",
            "fax_number": "304-733-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUGHRIDGE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOUGHRIDGE",
        "authorized_official_first_name": "FANNIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "304-733-1833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, CAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.