Individual provider Active NPI

Tina Alt Liong, LPC

  • Professional Counselor
  • Petersburg, WV
National Provider Identifier
1356658397
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1500 Issued in WV
Practice address
111 S Grove St Ste 1
Petersburg, WV 26847-1805
Phone
(304) 257-2451
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1500 WV Primary

Addresses

Primary practice location

111 S Grove St Ste 1
Petersburg, WV 26847-1805

Mailing address

PO Box 97
Baker, WV 26801-0097
Phone (304) 897-5915

Other practice location 1

41 Maddex Drive
Suite 1
Shepherdstown, WV 25443
Phone (304) 876-3878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910003191 WV Practitioner - Mental Health Counselor 2264935857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 97
Baker, WV 26801

PO Box
Suite 97
Baker, WV 26801-0097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1500WVMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E. a. Hawse Health Center, Inc. CurrentSince Jun 12, 2025 Accepting new patients
E.a. Hawse Health Center Inc CurrentSince Jun 12, 2025 Accepting new patients
E. a. Hawse Health Center, Inc. Past Accepting new patients

Locations

17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220

207 Viking Dr
Petersburg, WV 26847
Phone (304) 257-1444

111 S Grove St
Ste 1
Petersburg, WV 26847
Phone (304) 257-2451

45 School St
Romney, WV 26757

157 Trojan Way
Romney, WV 26757

296 Calvert Dr
Romney, WV 26757

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1356658397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268010097",
            "telephone_number": "304-897-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GROVE ST STE 1",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471805",
            "telephone_number": "304-257-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Maddex Drive",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Shepherdstown",
            "state": "WV",
            "postal_code": "25443",
            "country_code": "US",
            "telephone_number": "304-876-3878",
            "fax_number": "304-876-1471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIONG",
        "first_name": "TINA",
        "middle_name": "ALT",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.