Active NPI
Off the Rails Counseling, LLC
- Professional Counselor
- Sandyville, WV
National Provider Identifier
1306486543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- OFF THE RAILS COUNSELING, LLC
- Practice address
- 33 Kristen St
Sandyville, WV 25275-9349 - Phone
- (304) 377-1194
- NPI assigned
- Jan 15, 2020
- Last updated
- Jan 16, 2020
- 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
- Bobbi Jo Teasley, LPC
- Title
- Owner/Therapist
- Phone
- (304) 377-1194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
33 Kristen St
Sandyville, WV 25275-9349
Mailing address
33 Kristen St
Sandyville, WV 25275-9349
Phone (304) 377-1194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245549062 | Medicaid | WV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Ravenswood, WV
- NPI 1245549062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579132800000",
"number": "1306486543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 KRISTEN ST",
"city": "SANDYVILLE",
"state": "WV",
"postal_code": "252759349",
"telephone_number": "304-377-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 KRISTEN ST",
"city": "SANDYVILLE",
"state": "WV",
"postal_code": "252759349",
"telephone_number": "304-377-1194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFF THE RAILS COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A",
"authorized_official_last_name": "TEASLEY",
"authorized_official_first_name": "BOBBI",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "304-377-1194",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245549062",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandyville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.