Active NPI
Paramount Support Services of St. Clairsville, Ohio, Inc.
- Mental Health Counselor
- Saint Clairsville, OH
National Provider Identifier
1437608171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2601054 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Paramount Support Services of St Clairsville Ohio Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Saint Clairsville, OH
- NPI 1841432838
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.