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Appalachian Counseling Center LLC

NPI 1568928877ActiveOrganization· Psychologist· Fairmont, WV

Psychologist in Fairmont, West Virginia, registered in NPPES in February 2019. The authorized official on file is Judith Ann Black, LPC, ALPS NCC, LCMHC, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1568928877
StatusActive
Entity typeOrganization
NPI issuedFeb 12, 2019
Last updated in NPPESJan 17, 2024
Certified by providerJan 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——
Counselor101Y00000X——
Counselor, Addiction (Substance Use Disorder)101YA0400X——
Counselor, Mental Health101YM0800X——
Counselor, Pastoral101YP1600X——
Counselor, Professional101YP2500X——
Psychologist, Clinical103TC0700X——
Psychologist, Counseling103TC1900X——
Psychologist, Family103TF0000X——
Psychologist, School103TS0200X——
Social Worker104100000X——
Social Worker, Clinical1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (WV)

Medicare sources and data years

Other Psychologist providers in Fairmont

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