Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beatriz Cedeno, PROVISIONALLICENSE

Individual provider Professional Counselor · NPI 1023894516

Beatriz Cedeno, PROVISIONALLICENSE is a Mental Health Counselor in Fairmont, West Virginia. Qualified in 2022, 4 years ago. Practices with Appalachian Counseling Center LLC, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023

Practice location Address checks out

207 Fairmont Ave
Fairmont, WV 26554-2710
Phone: (681) 404-6869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1023894516
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROVISIONALLICENSE
Sole proprietorYes
NPI enumeratedAugust 31, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 1, 2023
Mailing address207 Fairmont Ave, Fairmont, WV 26554-2710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Appalachian Counseling Center Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairmont