MOUNTAIN LAUREL WELLNESS LLC (NPI# 1407215320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407215320 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN LAUREL WELLNESS LLC |
| Practice Address |
235 High St Suite 407 Morgantown WV 26505-5429 |
| Practice Telephone | 3042827552 |
| Mailing Telephone | 3042827552 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Authorized Official Name | JAMIE ELIZABETH JACOBS (COUNSELOR) |
| Authorized Official Telephone | 3042827552 |
| Authorized Official Credential | LPC, ALPS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1978 | WV | Behavioral Health & Social Service Providers |
| Street Address |
235 HIGH ST SUITE 407 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720051386 | James Scott Mizes | Psychologist | 235 High St, Suite 608, Morgantown, WV 26505-5429 | 2006-02-13 |
| 1053936898 | Brittney Matlick | Counselor | 235 High St, Morgantown, WV 26505-5429 | 2020-06-08 |
| 1225560196 | Ascension, LLC | Community/Behavioral Health | 235 High St, Suite 606, Morgantown, WV 26505-5429 | 2017-03-30 |
| 1568907319 | Whole Brain Solutions, LLC | Community/Behavioral Health | 235 High St, Suite 606, Morgantown, WV 26505-5429 | 2017-01-04 |
| 1568817674 | Intentional Wellness and Consulting, LLC | Community/Behavioral Health | 235 High St, Morgantown, WV 26505-5429 | 2016-04-26 |
| 1639542442 | Susan Millham Licsw Pllc | Clinic/Center | 235 High St, Suite 708, Morgantown, WV 26505-5429 | 2015-11-03 |
| 1346643905 | Mountaineer Counseling | Counselor | 235 High St, Suite 706, Morgantown, WV 26505-5429 | 2014-09-26 |
| 1447525969 | Bonnie-jean Thurston-snoha | Psychologist | 235 High St, Suite 417, Morgantown, WV 26505-5429 | 2012-03-16 |
| 1609906718 | Cynthia G Hite | Social Worker | 235 High St, 821 Mon Bldg, Morgantown, WV 26505-5429 | 2007-03-07 |
| 1891831830 | Sarah Lynne Mcmahon | Counselor | 235 High St, Rm 806, Morgantown, WV 26505-5429 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236788 | Jennifer Nicole Morris | Counselor | 119 Fairview Ave, Morgantown, WV 26505-5806 | 2020-08-17 |
| 1255990834 | Ashley Rinehart | Counselor | 1063 Maple Dr Ste 1, Morgantown, WV 26505-0387 | 2019-06-07 |
| 1063982254 | Alicia Dawn Cale | Counselor | 165 Scott Ave Ste 103, Morgantown, WV 26508-8847 | 2018-11-29 |
| 1588196604 | Dave Hansen | Counselor | 206 Eastgate Dr, Morgantown, WV 26508-5939 | 2017-03-29 |
| 1063786358 | Robin Falor | Counselor | 139 Canyon Vlg, Morgantown, WV 26508-9085 | 2012-03-04 |
| 1205080157 | Shanna L. Beckett | Counselor | 4221 East Main Street, Morgantown, PA 19543 | 2008-11-05 |
| 1245374016 | Billie J Keechel | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2007-02-16 |
| 1861968257 | Sabrina Garzione | Counselor | 165 Scott Ave, Morgantown, WV 26508-8839 | 2018-10-23 |
| 1083103212 | Darice Renee Yerkovich | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-03 |
| 1679062806 | Carly Wears | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-03 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.