Organization Active NPI

Professional Counseling & Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Lavalette, WV
National Provider Identifier
1942528336
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1728 Issued in WV
Legal business name
PROFESSIONAL COUNSELING & CONSULTING SERVICES, LLC
Practice address
4600A RT. 152
Lavalette, WV 25535-1236
Phone
(304) 942-0000
Fax
(304) 522-0018
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Mrs. Joyce Bragg Perry, LPC., LSW.
Title
Director
Phone
(304) 528-5815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1728 WV Primary
Community/Behavioral Health Agency 251S00000X AP00940567 WV

Addresses

Primary practice location

4600A RT. 152
Lavalette, WV 25535-1236

Mailing address

PO Box 1236
Lavalette, WV 25535-1236
Phone (304) 942-0000

National Provider Directory

National Provider Directory

Locations

4600 Route 152
#A
Lavalette, WV 25535
Phone (304) 416-3456

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1942528336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255351236",
            "telephone_number": "304-942-0000",
            "fax_number": "304-522-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600A RT. 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255351236",
            "telephone_number": "304-942-0000",
            "fax_number": "304-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "BRAGG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-528-5815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC., LSW."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "1728",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "AP00940567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavalette, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.