APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER
NPI 1568928877
Psychologist in Fairmont, WV

Active since February 12, 2019
207 FAIRMONT AVE, FAIRMONT, WV 26554(681) 404-6869(681) 404-6871 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2023, Jan 16, 2023, Apr 14, 2021 and 1 more (4 updates tracked since 2019).

About Appalachian Life Enrichment Counseling Center NPPES

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

APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER (NPI 1568928877) is a healthcare organization registered as a psychologist in Fairmont, West Virginia and active in the NPI registry since February 2019. The organization maintains 2 additional practice locations and lists Judith Ann Black, President, as its authorized official.

NPPES Registry Identity

NPI1568928877
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameAPPALACHIAN COUNSELING CENTER LLC
Location Address207 FAIRMONT AVEFairmont, WV 26554-2710
Mailing Address207 Fairmont AveFairmont, WV 26554-2710 · (681) 404-6869
Fax(681) 404-6871
Organization SubpartNo
Authorized OfficialJudith Ann BlackPresident · (681) 404-6869
Enumeration DateFebruary 12, 2019
Last NPPES UpdateJanuary 17, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1568928877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
207 FAIRMONT AVE, Fairmont, WV 26554

Other Names 1

Doing Business AsAppalachian Life Enrichment Counseling Center

Secondary Practice Locations 2

Location 13135 16th Street RdHuntington, WV 25701-5247 · Phone (681) 404-6869 · Fax (681) 404-6871
Location 2103 Corporate Dr Ste 201Morgantown, WV 26501-4601 · Phone (681) 404-4849 · Fax (681) 404-6871

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Appalachian Life Enrichment Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Appalachian Life Enrichment Counseling Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor14
Clinical Social Worker8
Clinical Psychologist3
Nurse Practitioner2
Marriage and Family Therapist1

Nearest to this location (20)

See all 28
Mental Health Counselor
NPI 1891473641
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1003110198
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1023894516
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1467231860
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1427667476
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1801358478
207 FAIRMONT AVE
Fairmont, WV 26554
(304) 698-1877
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750017604
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1881349967
207 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053952788
225 FAIRMONT AVE
Fairmont, WV 26554
(681) 404-6869
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1245906288
147 DEAN DR
Fairmont, WV 26554
(304) 602-6841
✔ PECOS5.9 mi
Clinical Social Worker
NPI 1528812591
120 PROFESSIONAL PL STE 101
Bridgeport, WV 26330
(304) 513-3495
✔ PECOS11 mi
Mental Health Counselor
NPI 1922354331
120 PROFESSIONAL PL STE 101
Bridgeport, WV 26330
(304) 513-3495
✔ PECOS✔ Accepts Medicare11 mi
Mental Health Counselor
NPI 1093349797
103 CORPORATE DR STE 102
Morgantown, WV 26501
(681) 404-6869
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1184236788
742 FAIRMONT RD STE C
Morgantown, WV 26501
(681) 441-2687
✔ PECOS14 mi
Clinical Social Worker
NPI 1437525128
341 SPRUCE ST
Morgantown, WV 26505
(304) 292-8234
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1871222786
13272 NORTH MOUNTAINEER HIGHWAY
Arthurdale, WV 26520
(681) 404-0810
✔ PECOS18 mi
Nurse Practitioner
NPI 1285364935
1005 WHITE WILLOW WAY
Morgantown, WV 26505
(304) 460-5123
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1144545138
198 MORGANTOWN ST STE 2
Bruceton Mills, WV 26525
(304) 379-7600
✔ PECOS✔ Accepts Medicare30 mi
Mental Health Counselor
NPI 1487179628
2606 NATIONAL RD
Wheeling, WV 26003
(304) 242-7060
✔ PECOS✔ Accepts Medicare47 mi
Clinical Psychologist
NPI 1598530446
100 W CEDARMEADE AVE
Winchester, VA 22601
(540) 662-7656
✔ PECOS108 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Appalachian Counseling Center LLC's NPI number?

The NPI number for Appalachian Counseling Center LLC is 1568928877. It was assigned to this organization in the NPPES registry on February 12, 2019. The provider is doing business as Appalachian Life Enrichment Counseling Center.

Where is Appalachian Counseling Center LLC located?

Appalachian Counseling Center LLC is located at 207 Fairmont Ave, Fairmont, WV 26554. The listed phone number is (681) 404-6869.

What is Appalachian Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Appalachian Counseling Center LLC enrolled in Medicare?

Yes. Appalachian Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Appalachian Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Appalachian Counseling Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (14), Clinical Social Worker (8) and Clinical Psychologist (3). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Appalachian Counseling Center LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Appalachian Counseling Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Appalachian Counseling Center LLC was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.