Active NPI
Inner Peace Counseling Services LLC
- Community/Behavioral Health Agency
- S Charleston, WV
National Provider Identifier
1639909393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INNER PEACE COUNSELING SERVICES LLC
- Practice address
- 722 Daverton Rd
S Charleston, WV 25303-2405 - Phone
- (304) 807-8878
- NPI assigned
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Chelena Joyce McCoy, LPC
- Title
- Therapist
- Phone
- (304) 807-8878
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
722 Daverton Rd
S Charleston, WV 25303-2405
Mailing address
PO Box 58424
Charleston, WV 25358-0424
Phone (304) 807-8788
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- S. Charleston, WV
- NPI 1932805876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1639909393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58424",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253580424",
"telephone_number": "304-807-8788",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 DAVERTON RD",
"city": "S CHARLESTON",
"state": "WV",
"postal_code": "253032405",
"telephone_number": "304-807-8878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER PEACE COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "CHELENA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "304-807-8878",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in S Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.