Individual provider Active NPI

Nancy E Sotak, MA

  • Professional Counselor
  • Beckley, WV
National Provider Identifier
1376637397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
436 Issued in WV
Practice address
1014 Johnstown Road
Beckley, WV 25801-4940
Phone
(304) 252-4433
Fax
(304) 252-1703
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 436 WV Primary

Addresses

Primary practice location

1014 Johnstown Road
Beckley, WV 25801-4940

Mailing address

PO Box 1128
1014 Johnstown Road
Beckley, WV 25802-1128
Phone (304) 252-4433

Other identifiers 2

IdentifierTypeStateIssuer
0116820000MedicaidWV
3810004530MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
436WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Psychiatric Services PLLC PastSince Sep 1, 2016 Accepting new patients
Ahmed D Faheem Past Accepting new patients

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376637397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "address_2": "1014 JOHNSTOWN ROAD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258021128",
            "telephone_number": "304-252-4433",
            "fax_number": "304-252-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 JOHNSTOWN ROAD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014940",
            "telephone_number": "304-252-4433",
            "fax_number": "304-252-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTAK",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116820000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004530",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.