CHARLES DOUGLAS PRINCE LPC ALPS NPI 1821362153

NPI Information

  • NPI: 1821362153
  • Provider Name: CHARLES DOUGLAS PRINCE, LPC, ALPS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 115 PRIVATE ROAD 977
    PEDRO, OH
    ZIP 45659
  • Phone: (740) 534-1386

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NPI Details

Charles Douglas Prince, LPC, ALPS is a professional counselor in Pedro, OH. Charles Douglas Prince, LPC, ALPS NPI is 1821362153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 PRIVATE ROAD 977
PEDRO, OH
ZIP 45659-608
Phone: (740) 534-1386

The enumeration date for this NPI number is 3/5/2012 and was last updated on 3/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorC.1801567OHIONo
2101Y00000XCounselor276481WEST VIRGINIANo
3101YM0800XCounselorMental Health123WEST VIRGINIANo
4101YP2500XCounselorProfessional2158WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10005355002MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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