Organization Active NPI

Professional Christian Counseling Services

  • Community/Behavioral Health Agency
  • Fairmont, WV
National Provider Identifier
1851728646
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2923 Issued in WV
Legal business name
PROFESSIONAL CHRISTIAN COUNSELING SERVICES
Practice address
102 Ridgeview Dr
Fairmont, WV 26554-8303
Phone
(304) 216-8827
NPI assigned
Oct 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Melissa N Sayre, LICENSED COUNSELOR
Title
Clinical Counselor
Phone
(304) 216-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2923 WV Primary

Addresses

Primary practice location

102 Ridgeview Dr
Fairmont, WV 26554-8303

Mailing address

102 Ridgeview Dr
Fairmont, WV 26554-8303
Phone (304) 216-8827

National Provider Directory

National Provider Directory
Tax ID family
Henry Ford Health System4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1851728646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIDGEVIEW DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548303",
            "telephone_number": "304-216-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIDGEVIEW DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548303",
            "telephone_number": "304-216-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CHRISTIAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "304-216-8827",
        "authorized_official_credential": "LICENSED COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "2923",
            "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 Oct 11, 2013; 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.