Healthcare Provider Details

I. General information

NPI: 1114887155
Provider Name (Legal Business Name): WEST VIRGINIA COUNSELING & PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 WARWOOD AVE
WHEELING WV
26003-7103
US

IV. Provider business mailing address

2011 WARWOOD AVE
WHEELING WV
26003-7103
US

V. Phone/Fax

Practice location:
  • Phone: 304-905-6949
  • Fax: 304-905-6963
Mailing address:
  • Phone: 304-905-6949
  • Fax: 304-905-6963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN MARTIN
Title or Position: FOUNDER / CEO / PSYCHOTHERAPIST
Credential: LIMFT
Phone: 304-905-6949