Individual provider Active NPI

Alecia N Allen, LPC

  • Professional Counselor
  • South Charleston, WV
National Provider Identifier
1396363099
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2521 Issued in WV
Practice address
90 Maccorkle Ave SW Ste 201
South Charleston, WV 25303-1443
Phone
(304) 881-7736
NPI assigned
Jul 8, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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 2521 WV Primary

Addresses

Primary practice location

90 Maccorkle Ave SW Ste 201
South Charleston, WV 25303-1443

Mailing address

90 Maccorkle Ave SW Ste 201
South Charleston, WV 25303-1443
Phone (304) 881-7736

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
I20260427002512 WV Practitioner - Mental Health Counselor 0840767885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

501 Caldwell LN
Dunbar, WV 25064-2026
Phone (312) 447-1941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2521WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keep Your Faith Corporation Incorporated Professional Current Accepting new patients

Locations

1313 Quarrier St
Ste B
Charleston, WV 25301
Phone (304) 347-3668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1396363099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MACCORKLE AVE SW STE 201",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031443",
            "telephone_number": "304-881-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MACCORKLE AVE SW STE 201",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031443",
            "telephone_number": "304-881-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ALECIA",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.