Active NPI
Timko Counseling Services, LLC
- Mental Health Counselor
- Fairmont, WV
National Provider Identifier
1700904240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC1659
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72912400 | Other | MD | MAGELLAN |
National Provider Directory
National Provider DirectoryLocations
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.