NPIMap

Organization Active NPI

Patrtnership of African American Churches

Doing business as Partnership of African American Churches

  • Professional Counselor
  • Charleston, WV
National Provider Identifier
1346734803
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PATRTNERSHIP OF AFRICAN AMERICAN CHURCHES
Doing business as
Partnership of African American Churches
Practice address
1514 Kanawha Blvd W
Charleston, WV 25387-2533
Phone
(304) 768-7688
Fax
(304) 768-7647
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Edna Green
Title
Chief Operations Officer
Phone
(304) 768-7688

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

1514 Kanawha Blvd W
Charleston, WV 25387-2533

Mailing address

1514 Kanawha Blvd W
Charleston, WV 25387-2533
Phone (304) 768-7688

Other names 1

  • Partnership of African American Churches Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1346734803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872533",
            "telephone_number": "304-768-7688",
            "fax_number": "304-768-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872533",
            "telephone_number": "304-768-7688",
            "fax_number": "304-768-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRTNERSHIP OF AFRICAN AMERICAN CHURCHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "304-768-7688"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partnership of African American Churches",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Partnership of African American Churches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.