Appalachian Counseling Services, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0701004867 Issued in VA

Legal business name

APPALACHIAN COUNSELING SERVICES, INC

Practice address

1034 Freehold Road
Davenport, VA 24239

Phone

(276) 859-2129

NPI assigned

Oct 3, 2013

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Bradley-Jackson, MS,LPC

Title

Clinical Director

Phone

(276) 859-2129

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1871920991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015A LOVER'S GAP RIAD",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "24657",
            "telephone_number": "276-859-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 FREEHOLD ROAD",
            "city": "DAVENPORT",
            "state": "VA",
            "postal_code": "24239",
            "telephone_number": "276-859-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY-JACKSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "276-859-2129",
        "authorized_official_credential": "MS,LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0701004867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davenport Life Saving Crew Inc
• Family Drug Center
• St Charles Health Council Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Davenport, VA
• Providers in Davenport, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.