Active NPI
Dorothy G. Shanley, LPC
- Mental Health Counselor
- Wheeling, WV
National Provider Identifier
1699806042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1025 Main St Ste 310
Wheeling, WV 26003-2741 - Phone
- (304) 233-2020
- Fax
- (304) 232-7245
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1828 | WV | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1025 Main St Ste 310
Wheeling, WV 26003-2741
Mailing address
1025 Main St Ste 310
Wheeling, WV 26003-2741
Phone (304) 233-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045390 | Other | OH | HEALTH PLAN OF THE UPPER OHIO VALLEY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1828 | WV | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Professional Counseling | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Wheeling, WV
- NPI 1669805925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1699806042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAIN ST STE 310",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032741",
"telephone_number": "304-233-2020",
"fax_number": "304-232-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAIN ST STE 310",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032741",
"telephone_number": "304-233-2020",
"fax_number": "304-232-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANLEY",
"first_name": "DOROTHY",
"middle_name": "G.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1828",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF THE UPPER OHIO VALLEY",
"identifier": "Q045390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.