Organization Active NPI

Catalyst Counseling, P.L.L.C.

  • Clinical Social Worker
  • Fairmont, WV
National Provider Identifier
1760148159
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 10, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.