Appalachian Life Enrichment Counseling Center - Medicare Mental Health Clinic in Fairmont, WV

Appalachian Life Enrichment Counseling Center is a medicare enrolled mental health clinic (Psychologist) in Fairmont, West Virginia. The current practice location for Appalachian Life Enrichment Counseling Center is 207 Fairmont Ave, Fairmont, West Virginia. For appointments, you can reach them via phone at (681) 404-6869. The mailing address for Appalachian Life Enrichment Counseling Center is 207 Fairmont Ave, Fairmont, West Virginia and phone number is (681) 404-6869.

Appalachian Life Enrichment Counseling Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568928877. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (681) 404-6869.

Contact Information

Appalachian Life Enrichment Counseling Center
207 Fairmont Ave
Fairmont
WV 26554-2710
(681) 404-6869
(681) 404-6871

Mental Health Clinic Profile

Full NameAppalachian Life Enrichment Counseling Center
SpecialityPsychologist
Location207 Fairmont Ave, Fairmont, West Virginia
Authorized Official Name and PositionJudith Ann Black (PRESIDENT)
Authorized Official Contact6814046869
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Appalachian Life Enrichment Counseling Center
207 Fairmont Ave
Fairmont
WV 26554-2710

Ph: (681) 404-6869
Appalachian Life Enrichment Counseling Center
207 Fairmont Ave
Fairmont
WV 26554-2710

Ph: (681) 404-6869

NPI Details:

NPI Number1568928877
Provider Enumeration Date02/12/2019
Last Update Date01/17/2024
Certification Date01/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5597115782
Medicare Enrollment IDO20231229002926

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Medical Identifiers

Medical identifiers for Appalachian Life Enrichment Counseling Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568928877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP1600XCounselor - Pastoral (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Primary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
103TC1900XPsychologist - Counseling (* (Not Available))Secondary
103TF0000XPsychologist - Family (* (Not Available))Secondary
103TS0200XPsychologist - School (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Appalachian Life Enrichment Counseling Center acts as a billing entity for following providers:
Provider NameYukiko Comstock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1487179628
PECOS PAC ID: 7810340254
Enrollment ID: I20240201000977

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Provider NameSheli Bernstein-goff
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972673986
PECOS PAC ID: 8022461482
Enrollment ID: I20240201001667

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Provider NameHaley Wable
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093349797
PECOS PAC ID: 4385097674
Enrollment ID: I20240202002231

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Provider NameJennifer Nicole Morris
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184236788
PECOS PAC ID: 2567805534
Enrollment ID: I20240206004369

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Provider NameJaimie Choi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467231860
PECOS PAC ID: 8022451905
Enrollment ID: I20240207003230

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PECOS PAC ID: 1254774193
Enrollment ID: I20240208000567

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Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053952788
PECOS PAC ID: 9234572017
Enrollment ID: I20240208002349

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Provider NameKiley Rhae Brescoach
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881241479
PECOS PAC ID: 8224471859
Enrollment ID: I20240209003098

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Provider IdentifiersNPI Number: 1982278073
PECOS PAC ID: 2668815036
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Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801358478
PECOS PAC ID: 5991149163
Enrollment ID: I20240215001018

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Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1225396815
PECOS PAC ID: 3779927405
Enrollment ID: I20240221000742

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Provider NameCody L Granda
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1194976555
PECOS PAC ID: 8628412301
Enrollment ID: I20240221002356

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Provider NameJudith A Black
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003110198
PECOS PAC ID: 6406206697
Enrollment ID: I20240222002314

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Contact Solutions' multi-channel solution may help contact centers to improve service and save money

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› Verified 3 days ago

Psychologist in Fairmont, WV

Synergy Integrative Counseling Services Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 379 Dean Dr, Fairmont, WV 26554
Phone: 304-366-7288    
Andrea Pammer Llc Dba Pammerpsych
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1314 Locust Ave, Fairmont, WV 26554
Phone: 304-367-0232    Fax: 304-367-0233
Family Service Of Marion & Harrison Counties Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1313 Locust Ave Ste 1, Fairmont, WV 26554
Phone: 304-366-4750    Fax: 304-366-4753
Intuitive Wellness
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 14 E Grafton Rd Ste A, Fairmont, WV 26554
Phone: 304-534-9355    
E-counseling Wv, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 309 Cleveland Ave Ste 210, Fairmont, WV 26554
Phone: 681-214-8709    
Family Service Of Marion & Harrison Counties Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1313 Locust Ave Ste 1, Fairmont, WV 26554
Phone: 304-366-4750    Fax: 304-366-4753
Moksha Living
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14 E Grafton Rd Ste A, Fairmont, WV 26554
Phone: 681-214-0025    

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