Active NPI
Rebecca Hayes-Merrill, LPC ADC-S
- Professional Counselor
- Fairmont, WV
National Provider Identifier
1477906154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- #1667
- Practice address
- 212 Adams St.
3Rd Floor
Fairmont, WV 26554 - Phone
- (304) 612-9058
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | #1667 | WV | Primary |
Addresses
Primary practice location
212 Adams St.
3Rd Floor
Fairmont, WV 26554
Mailing address
PO Box 2212
Fairmont, WV 26555-2212
Phone (304) 612-9058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #1667 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1477906154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2212",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265552212",
"telephone_number": "304-612-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ADAMS ST.",
"address_2": "3RD FLOOR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-612-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES-MERRILL",
"first_name": "REBECCA",
"credential": "LPC ADC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "#1667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.