Organization Active NPI

Runner Counseling Services, LLC

  • Mental Health Counselor
  • Clarksburg, WV
National Provider Identifier
1487354866
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RUNNER COUNSELING SERVICES, LLC
Practice address
2413 E Pike St Ste 125
Clarksburg, WV 26301-9117
Phone
(304) 202-7001
Fax
(808) 640-3628
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Authorized official

Name
Kelley Runner
Title
Office Manager
Phone
(304) 202-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2413 E Pike St Ste 125
Clarksburg, WV 26301-9117

Mailing address

229 Johnson Ave # a
Bridgeport, WV 26330-1608
Phone (304) 838-1122

Other names 2

  • Insight Renewal Doing business as
  • Insight Renewal Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

2413 E Pike St
Ste 125
Clarksburg, WV 26301
Phone (304) 202-7001

Practitioners & affiliated clinicians

Practitioners 1

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1487354866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JOHNSON AVE # A",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301608",
            "telephone_number": "304-838-1122",
            "fax_number": "808-640-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 E PIKE ST STE 125",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019117",
            "telephone_number": "304-202-7001",
            "fax_number": "808-640-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNER COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "RUNNER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-202-7001"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Renewal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insight Renewal Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.