Organization Active NPI

Timko Counseling Services, LLC

  • Mental Health Counselor
  • Fairmont, WV
National Provider Identifier
1700904240
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1659 Issued in MD
Legal business name
TIMKO COUNSELING SERVICES, LLC
Practice address
109 Fairmont Ave
Suite 1
Fairmont, WV 26554-2815
Phone
(304) 680-7622
Fax
(304) 363-2287
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Cheri Timko, M.S., L.P.C.NPI 1518044379
Title
Licensed Professional Counselor
Phone
(304) 680-7622

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LC1659 MD Primary

Addresses

Primary practice location

109 Fairmont Ave
Suite 1
Fairmont, WV 26554-2815

Mailing address

421 Lick Run Rd
Fairmont, WV 26554-8856
Phone (304) 680-7622

Other identifiers 1

IdentifierTypeStateIssuer
72912400OtherMDMAGELLAN

National Provider Directory

National Provider Directory

Locations

109 Fairmont Ave
Ste 1
Fairmont, WV 26554
Phone (304) 680-7622

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1700904240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 LICK RUN RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548856",
            "telephone_number": "304-680-7622",
            "fax_number": "304-363-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FAIRMONT AVE",
            "address_2": "SUITE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542815",
            "telephone_number": "304-680-7622",
            "fax_number": "304-363-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMKO COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "TIMKO",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "304-680-7622",
        "authorized_official_credential": "M.S., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "72912400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.