NPIMap

Organization Active NPI

Wellness for Life LLC

  • Professional Counselor
  • Scott Depot, WV
National Provider Identifier
1720464241
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1971 Issued in WV
Legal business name
WELLNESS FOR LIFE LLC
Practice address
6 Frazier Way
Scott Depot, WV 25560-9018
Phone
(301) 204-0863
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Dr. Laurie Covington, PSYD, LPCNPI 1699151118
Title
Ceo
Phone
(301) 204-0863

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1971 WV Primary

Addresses

Primary practice location

6 Frazier Way
Scott Depot, WV 25560-9018

Mailing address

6 Frazier Way
Scott Depot, WV 25560-9018
Phone (301) 204-0863

National Provider Directory

National Provider Directory

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": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1720464241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRAZIER WAY",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609018",
            "telephone_number": "301-204-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FRAZIER WAY",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609018",
            "telephone_number": "301-204-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-204-0863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.