Active NPI
Carol Ackermann, MA
- Mental Health Counselor
- Beaver, WV
National Provider Identifier
1992968192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AP00941291
- Practice address
- 673 Ritter Drive
Beaver, WV 25813-7707 - Phone
- (304) 255-2043
- Fax
- (304) 255-2043
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AP00941291 | WV | Primary |
Addresses
Primary practice location
673 Ritter Drive
Beaver, WV 25813-7707
Mailing address
673 Ritter Drive
P.O. Box 40
Beaver, WV 25813-7707
Phone (304) 255-2043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP00941291 | Other | WV | SOCIAL WORK |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00941291 | WV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Psychological Sevices Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Beckley, WV
- NPI 1538348701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1992968192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 RITTER DRIVE",
"address_2": "P.O. BOX 40",
"city": "BEAVER",
"state": "WV",
"postal_code": "258137707",
"telephone_number": "304-255-2043",
"fax_number": "304-255-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 RITTER DRIVE",
"city": "BEAVER",
"state": "WV",
"postal_code": "258137707",
"telephone_number": "304-255-2043",
"fax_number": "304-255-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMANN",
"first_name": "CAROL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "AP00941291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "AP00941291",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.