APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER
NPI 1568928877
Psychologist in Fairmont, WV
NPI Status: Active since February 12, 2019
Contact Information
207 FAIRMONT AVE
FAIRMONT, WV
ZIP 26554
Phone: (681) 404-6869
Fax: (681) 404-6871
- Organization
- Psychologist
- Accepts Insurance
- CLIA Number: 51D1042617
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-13-2026
About APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER
This page provides the complete NPI Profile along with additional information for Appalachian Life Enrichment Counseling Center, a provider established in Fairmont, West Virginia operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1568928877 assigned on February 2019. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Appalachian Life Enrichment Counseling Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Appalachian Life Enrichment Counseling Center. The authorized official of this NPI record is Dr. Judith Ann Black Lpc, Alps Ncc, Lcmhc (President)
- NPI
- 1568928877
- Provider Legal Name
- APPALACHIAN COUNSELING CENTER LLC
- Other Organization Name
- APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 207 FAIRMONT AVE FAIRMONT, WV 26554
- Location Phone
- (681) 404-6869
- Location Fax
- (681) 404-6871
- Mailing Address
- 207 FAIRMONT AVE FAIRMONT, WV 26554
- Mailing Phone
- (681) 404-6869
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2019
- Last Update Date
- 01-17-2024
- Code Navigator
A psychologist like Appalachian Life Enrichment Counseling Center studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Secondary Locations
- 3135 16th Street Rd
Huntington, WV 25701
(681) 404-6869 - 103 Corporate Dr Ste 201
Morgantown, WV 26501
(681) 404-4849
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | |
| 5 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 6 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 7 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | |
| 8 | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | |
| 9 | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | |
| 10 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 11 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D1042617
- Facility Type
- Physician Office
- Certificate Effective Date
- March 14, 2024
- Certificate Expiration Date
- March 13, 2026
- Laboratory Director
- BETH SANTMYIRE ROSENBERGER MD PHD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Appalachian Life Enrichment Counseling Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568928877, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FAIRMONT, WV 26554
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568928877, enumerated as an "organization" on February 12, 2019.
The provider is located at 207 FAIRMONT AVE FAIRMONT, WV 26554 and the phone number is (681) 404-6869.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.
