PHOENIX PSYCHOLOGICAL & COUNSELING ASSOC INC
NPI 1386631786
Counselor in Quiet Dell, WV

Active since September 30, 2005
RT 20, QUIET DELL, WV 26408(304) 622-6404(304) 622-6404 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Psychological & Counseling Assoc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX PSYCHOLOGICAL & COUNSELING ASSOC INC (NPI 1386631786) is a healthcare organization registered as a counselor in Quiet Dell, West Virginia and active in the NPI registry since September 2005. The organization lists Charles Mcclure Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1386631786
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePHOENIX PSYCHOLOGICAL & COUNSELING ASSOC INC
Location AddressRT 20Quiet Dell, WV 26408
Mailing Address4579 Buckhannon Pike Ste 101Mount Clare, WV 26408-7176 · (304) 622-6404 · Fax (304) 622-6404
Fax(304) 622-6404
Organization SubpartNo
Authorized OfficialCharles Mcclure GreenOwner · (304) 622-6404
Enumeration DateSeptember 30, 2005
Last NPPES UpdateJuly 21, 2022
NPI 1386631786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
RT 20, Quiet Dell, WV 26408

Other Identifiers 1

Other001710319WV · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
RT 20
QUIET DELL, WV 26408
Counselor
RT 20
QUIET DELL, WV 26408
Counselor
RT 20
QUIET DELL, WV 26408
Psychologist
RT 20
QUIET DELL, WV 26408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Psychological & Counseling Assoc Inc's NPI number?

The NPI number for Phoenix Psychological & Counseling Assoc Inc is 1386631786. It was assigned to this organization in the NPPES registry on September 30, 2005.

Where is Phoenix Psychological & Counseling Assoc Inc located?

Phoenix Psychological & Counseling Assoc Inc is located at Rt 20, Quiet Dell, WV 26408. The listed phone number is (304) 622-6404.

What is Phoenix Psychological & Counseling Assoc Inc's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Psychological & Counseling Assoc Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.