NPIMap

Organization Active NPI

Peace Valley Counseling Center LLC

  • Professional Counselor
  • South Charleston, WV
National Provider Identifier
1548836653
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PEACE VALLEY COUNSELING CENTER LLC
Practice address
527 2ND Ave
South Charleston, WV 25303-1310
Phone
(681) 341-2993
NPI assigned
May 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Authorized official

Name
Josephine Marie Hensley, LPCNPI 1770136533
Title
LPC/Owner
Phone
(681) 313-7674

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X

Addresses

Primary practice location

527 2ND Ave
South Charleston, WV 25303-1310

Mailing address

527 2ND Ave
South Charleston, WV 25303-1310
Phone (681) 341-2993

Other identifiers 1

IdentifierTypeStateIssuer
1770136533OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jodyhensley@peacevalleycounselingcenter.com Direct

National Provider Directory

National Provider Directory

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": "1622246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622246400000",
    "number": "1548836653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 2ND AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031310",
            "telephone_number": "681-341-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 2ND AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031310",
            "telephone_number": "681-341-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE VALLEY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "681-313-7674",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770136533",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodyhensley@peacevalleycounselingcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "527 2nd Ave",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253031310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; 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.