Charles Stephen Porch, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC001077 Issued in PA

Practice address

175 Bello Vedere Ave
Wheeling, WV 26003-9391

Phone

(304) 242-6250

NPI assigned

Nov 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

West Virginia University School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enlighten Health Care LLCGroup PAC ID 6800289372, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enlighten Health Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wheeling, WV
  • NPI 1659030864
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1619791167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BELLO VEDERE AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260039391",
            "telephone_number": "304-242-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BELLO VEDERE AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260039391",
            "telephone_number": "304-242-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "CHARLES",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ann Poling, LPN
• Jondavid Pollock, MD
• Joel Kenneth Pool, PA-C
• Veronica Mercedes Pool, PA-C
• Alonna Marie Poole
• Mia Porter
• Morgan L Posey, PA-C
• Nicholas Prenatt, PA-C
• Diane Lynn Prettyman
• Leah Jean Prezkop

• Professional Counselor in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.