New Life Counseling LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

NEW LIFE COUNSELING LLC

Doing business as

12-2-1 Roundtables

Practice address

212 John St Ste B
Elkins, WV 26241-3823

Phone

(304) 317-7776

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Jim Wilson

Title

Ceo

Phone

(304) 317-7776

Specialties & licenses 1

Addresses

Other names 1

• 12-2-1 Roundtables Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faith Wilson, MA

  • Counselor
  • Elkins, WV
  • NPI 1568308690
  NPD

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1417534306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GRACE WAY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411194",
            "telephone_number": "304-614-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 JOHN ST STE B",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413823",
            "telephone_number": "304-317-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-317-7776"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 John St Ste B",
            "city": "Elkins",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262413823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "12-2-1 Roundtables",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Nelson
• Richard Nemes
• Kiersten Nesselrodte
• Cristy Ann Nestor
• New Directions LLC
• Emmilee New
• Next Generation Family Medicine PLLC
• Next Generation Family Practice
• Bradley Nicholas
• Kevin Nicholas

• Addiction (Substance Use Disorder) Counselor in Elkins, WV
• Providers in Elkins, WV by specialty
• Addiction (Substance Use Disorder) Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.