Organization Active NPI

New Beginnings Therapy Services, LLC

  • Professional Counselor
  • Princeton, WV
National Provider Identifier
1811355597
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW BEGINNINGS THERAPY SERVICES, LLC
Practice address
616 Harrison St
Princeton, WV 24740-3141
Phone
(304) 487-3487
Fax
(681) 282-5441
NPI assigned
Feb 9, 2016
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Mrs. Kathy Diane Wyrick, LPCNPI 1477939460
Title
Licensed Professional Counselor
Phone
(304) 487-3487

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
School Psychologist 103TS0200X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

616 Harrison St
Princeton, WV 24740-3141

Mailing address

616 Harrison St
Princeton, WV 24740-3141
Phone (304) 487-3487

Other practice location 1

220 S Walker St Ste A
Princeton, WV 24740-2747
Phone (304) 487-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161005000477 WV Part B Supplier - Clinic/Group Practice 4880982974 Receives reassigned benefits from 16 practitioners
Practice locations: Princeton, WV

National Provider Directory

National Provider Directory

Locations

1295 Stafford Dr
Ste 4
Princeton, WV 24740
Phone (304) 487-3487

220 S Walker St
Ste A
Princeton, WV 24740
Phone (304) 487-3487

616 Harrison St
Princeton, WV 24740
Phone (304) 320-0498

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1811355597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 HARRISON ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403141",
            "telephone_number": "304-487-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 HARRISON ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403141",
            "telephone_number": "304-487-3487",
            "fax_number": "681-282-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Walker St Ste A",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402747",
            "country_code": "US",
            "telephone_number": "304-487-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW BEGINNINGS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "WYRICK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "304-487-3487",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.