Organization Active NPI

Nicholas County Community Corrections

Doing business as Nicholas County Day Reporting Center

  • Addiction (Substance Use Disorder) Counselor
  • Summersville, WV
National Provider Identifier
1821549478
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
NICHOLAS COUNTY COMMUNITY CORRECTIONS
Doing business as
Nicholas County Day Reporting Center
Practice address
603 Broad St
Summersville, WV 26651-1307
Phone
(304) 872-9645
Fax
(304) 872-9643
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mrs. Stephanie L Westfall
Title
Assistant Program Director
Phone
(304) 872-9645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

603 Broad St
Summersville, WV 26651-1307

Mailing address

603 Broad St
Summersville, WV 26651-1307
Phone (304) 872-9645

Other names 1

  • Nicholas County Day Reporting Center Doing business as

National Provider Directory

National Provider Directory

Locations

603 Broad St
Summersville, WV 26651
Phone (304) 602-3303

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1821549478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511307",
            "telephone_number": "304-872-9645",
            "fax_number": "304-872-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BROAD ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511307",
            "telephone_number": "304-872-9645",
            "fax_number": "304-872-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS COUNTY COMMUNITY CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "304-872-9645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas County Day Reporting Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.