Mr Michael A Kodrich, LPC | |
3501 Emerson Ave, Suite 2-b, Parkersburg, WV 26104-1849 | |
(304) 420-0940 | |
(304) 865-2214 |
Full Name | Mr Michael A Kodrich |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3501 Emerson Ave, Parkersburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134131329 | NPI | - | NPPES |
Y288393 | Other | WV | HEALTH PLAN PIN NUMBER |
096167 | Other | WV | VALUE OPTIONS PIN NUMBER |
180073 | Other | WV | COMPSYCH PIN NUMBER |
2031476 | Other | WV | CIGNA HEALTH CARE PIN NUM |
000000234570 | Other | WV | ANTHEM PIN NUMBER |
7227387 | Other | WV | AETNA PROVIDER PIN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1197 (West Virginia) | Primary |
Entity Name | Counseling And Wellness Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184069668 PECOS PAC ID: 5395983126 Enrollment ID: O20130605000870 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael A Kodrich, LPC 3501 Emerson Ave, Suite 2-b, Parkersburg, WV 26104-1849 Ph: (304) 420-0940 | Mr Michael A Kodrich, LPC 3501 Emerson Ave, Suite 2-b, Parkersburg, WV 26104-1849 Ph: (304) 420-0940 |
Norma Maureen Hayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 7th St, Parkersburg, WV 26101 Phone: 304-485-1721 Fax: 304-485-9203 | |
Betty Mechler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 7th St, Parkersburg, WV 26101 Phone: 304-485-1721 Fax: 304-424-9424 | |
Jennifer Ann Fogle, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Emerson Ave, Parkersburg, WV 26104 Phone: 304-239-5355 Fax: 304-622-6856 | |
Ms. Darbv Ryan Stevens, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 7th St, Parkersburg, WV 26101 Phone: 304-485-1721 Fax: 304-485-6710 | |
Aaron Vann, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7 Rosemar Cir, Parkersburg, WV 26104 Phone: 304-422-7999 Fax: 681-661-0257 | |
Dr. Shauna Hyde, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Washington Ave, Parkersburg, WV 26101 Phone: 304-588-1470 | |
Russell Dean Philpott, M. ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 College Pkwy Ste 101, Parkersburg, WV 26104 Phone: 304-485-3345 Fax: 304-485-3345 |