Active NPI
Interconnections Counseling and Consulting
- Mental Health Counselor
- Charles Town, WV
National Provider Identifier
1720816747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INTERCONNECTIONS COUNSELING AND CONSULTING
- Practice address
- 108 S Samuel St
Charles Town, WV 25414 - Phone
- (304) 582-0516
- NPI assigned
- Jul 22, 2024
- Last updated
- Jul 22, 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. Christina R Keller, LPS
- Title
- Counselor
- Phone
- (304) 582-0516
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 | NU | Primary |
Addresses
Primary practice location
108 S Samuel St
Charles Town, WV 25414
Mailing address
3158 Sulphur Springs Rd
Inwood, WV 25428-3502
Phone (304) 582-0516
National Provider Directory
National Provider DirectoryLocations
108 S Samuel St
Charles Town, WV 25414
Phone (304) 582-0516
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Charles Town, WV
- NPI 1578207395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1720816747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3158 SULPHUR SPRINGS RD",
"city": "INWOOD",
"state": "WV",
"postal_code": "254283502",
"telephone_number": "304-582-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S SAMUEL ST",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "25414",
"telephone_number": "304-582-0516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERCONNECTIONS COUNSELING AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "304-582-0516",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.