Organization Active NPI

Off the Rails Counseling, LLC

  • Professional Counselor
  • Sandyville, WV
National Provider Identifier
1306486543
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Bobbi Jo Teasley, LPCNPI 1245549062
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245549062MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.