Organization Active NPI

Blue Ridge Community & Counseling

  • Counselor
  • Martinsburg, WV
National Provider Identifier
1477693208
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
919 Issued in WV
Legal business name
BLUE RIDGE COMMUNITY & COUNSELING
Practice address
213 West John Street
Martinsburg, WV 25401
Phone
(304) 263-0345
Fax
(304) 263-0367
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Ms. Ginger Oconnell, MS RN NCC LPC ALPSNPI 1023148624
Title
Vice President Counselor
Phone
(304) 263-0345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 919 WV Primary

Addresses

Primary practice location

213 West John Street
Martinsburg, WV 25401

Mailing address

PO Box 1282
Martinsburg, WV 25402
Phone (304) 263-0345

Other identifiers 1

IdentifierTypeStateIssuer
919OtherWVWV BOARD OF EXAMINERS

National Provider Directory

National Provider Directory

Locations

213 W John St
Martinsburg, WV 25401
Phone (304) 263-0345

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1477693208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1282",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25402",
            "telephone_number": "304-263-0345",
            "fax_number": "304-263-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WEST JOHN STREET",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-263-0345",
            "fax_number": "304-263-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COMMUNITY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "OCONNELL",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "VICE PRESIDENT COUNSELOR",
        "authorized_official_telephone_number": "304-263-0345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS RN NCC LPC ALPS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WV",
            "license": "919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF EXAMINERS",
            "identifier": "919",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.