Active NPI
Catalyst Counseling, P.L.L.C.
- Clinical Social Worker
- Fairmont, WV
National Provider Identifier
1760148159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CATALYST COUNSELING, P.L.L.C.
- Practice address
- 618 Prospect Ave
Fairmont, WV 26554-2525 - Phone
- (304) 669-3649
- NPI assigned
- Nov 10, 2021
- 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
- Danielle Marie Chefren, LICSW
- Title
- Licsw/Owner
- Phone
- (304) 669-3649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
618 Prospect Ave
Fairmont, WV 26554-2525
Mailing address
PO Box 572
Fairmont, WV 26555-0572
Phone (304) 669-3649
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636502400000",
"number": "1760148159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 572",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265550572",
"telephone_number": "304-669-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 PROSPECT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542525",
"telephone_number": "304-669-3649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATALYST COUNSELING, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A",
"authorized_official_last_name": "CHEFREN",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LICSW/OWNER",
"authorized_official_telephone_number": "304-669-3649",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.