NPIMap

Organization Active NPI

Morgantown Pastoral Counseling Center Inc

  • Professional Counselor
  • Morgantown, WV
National Provider Identifier
1619040805
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MORGANTOWN PASTORAL COUNSELING CENTER INC
Practice address
1062 Maple Dr Ste 1
Morgantown, WV 26505-2815
Phone
(304) 599-5751
Fax
(304) 599-2124
NPI assigned
Nov 16, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. George David Moses, ED.D.NPI 1679540876
Title
Director
Phone
(304) 599-5751

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

1062 Maple Dr Ste 1
Morgantown, WV 26505-2815

Mailing address

1062 Maple Dr
Suite1
Morgantown, WV 26505-0809
Phone (304) 599-5751

Other identifiers 2

IdentifierTypeStateIssuer
0203677000MedicaidWV
001710123OtherWVBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1619040805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 MAPLE DR",
            "address_2": "SUITE1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050809",
            "telephone_number": "304-599-5751",
            "fax_number": "304-599-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 MAPLE DR STE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052815",
            "telephone_number": "304-599-5751",
            "fax_number": "304-599-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTOWN PASTORAL COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-599-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203677000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001710123",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.