Organization Active NPI

Paramount Support Services of St. Clairsville, Ohio, Inc.

  • Mental Health Counselor
  • Saint Clairsville, OH
National Provider Identifier
1437608171
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PARAMOUNT SUPPORT SERVICES OF ST. CLAIRSVILLE, OHIO, INC.
Practice address
68138 Vineyard Rd
Saint Clairsville, OH 43950-8481
Phone
(740) 526-0540
Fax
(740) 526-0541
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Mr. Brent Michael Kovalski
Title
President
Phone
(740) 526-0540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

68138 Vineyard Rd
Saint Clairsville, OH 43950-8481

Mailing address

68138 Vineyard Rd
PO Box 543
Saint Clairsville, OH 43950-8481
Phone (740) 526-0540

Other identifiers 1

IdentifierTypeStateIssuer
2601054MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Paramount Support Services of St Clairsville Ohio Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1437608171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68138 VINEYARD RD",
            "address_2": "PO BOX 543",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508481",
            "telephone_number": "740-526-0540",
            "fax_number": "740-526-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68138 VINEYARD RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508481",
            "telephone_number": "740-526-0540",
            "fax_number": "740-526-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT SUPPORT SERVICES OF ST. CLAIRSVILLE, OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "KOVALSKI",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-526-0540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.