Individual provider Active NPI

Enobong J. Inyang, LPC, LSOTP

  • Professional Counselor
  • Charleston, WV
National Provider Identifier
1942563903
Registry record updated Jun 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2042 Issued in WV
Practice address
100 Angus E Peyton Dr
Charleston, WV 25303-1600
Phone
(304) 745-1951
Fax
(304) 746-1942
NPI assigned
Jun 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2042 WV
Addiction (Substance Use Disorder) Counselor 101YA0400X 61815 TX
Professional Counselor 101YP2500X 2042 WV Primary
Professional Counselor 101YP2500X 61815 TX
Marriage & Family Therapist 106H00000X 2042 WV
Marriage & Family Therapist 106H00000X 61815 TX

Addresses

Primary practice location

100 Angus E Peyton Dr
Charleston, WV 25303-1600

Mailing address

PO Box 20075
Charleston, WV 25362-1075
Phone (180) 064-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61815TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1942563903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20075",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253621075",
            "telephone_number": "180-064-2984",
            "fax_number": "304-746-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ANGUS E PEYTON DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031600",
            "telephone_number": "304-745-1951",
            "fax_number": "304-746-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INYANG",
        "first_name": "ENOBONG",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "LPC, LSOTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "2042",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "61815",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2042",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61815",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WV",
            "license": "2042",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "61815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.