Organization Active NPI

Sandra D. Street Ma, LPC

Doing business as Street Consulting & Behavioral Serv. LLC

  • Professional Counselor
  • Wheeling, WV
National Provider Identifier
1750592903
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1135 Issued in WV
Legal business name
SANDRA D. STREET MA, LPC
Doing business as
Street Consulting & Behavioral Serv. LLC
Practice address
40 12TH St
Suite 201
Wheeling, WV 26003-3279
Phone
(304) 242-2817
Fax
(304) 242-5161
NPI assigned
May 26, 2007
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Ms. Sandra D. Street, MA, LPC
Title
Owner
Phone
(304) 242-2817

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10053 NU
Professional Counselor 101YP2500X 1135 WV Primary
Professional Counselor 101YP2500X C0004992 OH
Professional Counselor 101YP2500X 37956 WV

Addresses

Primary practice location

40 12TH St
Suite 201
Wheeling, WV 26003-3279

Mailing address

PO Box 6101
Wheeling, WV 26003-0736
Phone (304) 242-2817

Other names 1

  • Street Consulting & Behavioral Serv. LLC Doing business as

National Provider Directory

National Provider Directory

Locations

40 12th St
Ste 201
Wheeling, WV 26003
Phone (304) 242-2817

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1750592903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6101",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030736",
            "telephone_number": "304-242-2817",
            "fax_number": "304-242-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 12TH ST",
            "address_2": "SUITE 201",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033279",
            "telephone_number": "304-242-2817",
            "fax_number": "304-242-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA D. STREET MA, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-242-2817",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": "10053",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1135",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0004992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "37956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Street Consulting & Behavioral Serv. LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2014; 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.