CACAPON CENTER FOR GROWTH, PLLC (NPI# 1003420522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003420522 |
| Entity Type | Organization |
| Organization Name | CACAPON CENTER FOR GROWTH, PLLC |
| Practice Address |
144 Grove Heights Road Berkeley Spring WV 25411-4816 |
| Mailing Address |
1855 Valley Rd # 368 Berkeley Springs WV 25411-4816 |
| Practice Telephone | 3045008133 |
| Mailing Telephone | 3047024426 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | RYAN MATTHEW MOON (OWNER/MANAGER) |
| Authorized Official Telephone | 3047024426 |
| Authorized Official Credential | MSW, LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
144 GROVE HEIGHTS ROAD |
| City | BERKELEY SPRING |
| State | WV |
| Zip Code | 25411-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489541 | War Memorial Hospital, Inc. | Internal Medicine | 3774 Valley Road, Berkeley Springs, WV 25411 | 2018-12-21 |
| 1568943397 | Julie Washick | Registered Nurse | Morgan County Board of Education, 247harrison Avenue, Berkeley Springs, WV 25411 | 2018-08-29 |
| 1316493950 | Matthew Ronald Jury | Pharmacist | 8 Gayle Drive, Berkeley Springs, WV 25411 | 2016-09-01 |
| 1457645467 | Zachary Ian Law | Dentist | 345 Concord Avenue, Berkeley Springs, WV 25411 | 2011-06-07 |
| 1467757187 | Wilma Dean Peters | Registered Nurse | 102 Whites Gap Road, Berkeley Springs, WV 25411 | 2011-01-12 |
| 1578877742 | Community Physicians of War Memorial | General Practice | 77 War Memorial Drive, Berkeley Springs, WV 25411 | 2010-07-30 |
| 1194046623 | Mls Counseling Services, LLC | Counselor | 3361 Valley Road, Berkeley Springs, WV 25411 | 2010-06-18 |
| 1053540781 | Amanda Gail Michael | Family Medicine | 2055 Valley Road, Berkeley Springs, WV 25411 | 2009-07-02 |
| 1346426871 | Gina Didawick Mellott | Registered Nurse | 247 Harrison Avenue, Morgan County Board of Education, Berkeley Spgs, WV 25411 | 2008-01-15 |
| 1811197585 | Robert James Dixon | Chiropractor | 122 Independence St., Berkeley Springs, WV 25411 | 2007-07-20 |
| Find all providers in zip 25411 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1467068122 | Cacapon Counseling Services | Community/Behavioral Health | 38 Cherokee Trl, Berkeley Springs, WV 25411-7371 | 2020-09-18 |
| 1558971341 | Parkersburg Addiction Recovery | Community/Behavioral Health | 1701 7th St, Parkersburg, WV 26101-5007 | 2020-08-06 |
| 1366083792 | Dumas Psychology Collective | Community/Behavioral Health | 1703 S. Kanawha, Beckley, WV 25801-2580 | 2019-10-07 |
| 1871141366 | Boone Memorial Hospital, Inc. | Community/Behavioral Health | 467 Main St Ste 4, Madison, WV 25130-2200 | 2019-08-28 |
| 1740844125 | Kashur Counseling Services LLC | Community/Behavioral Health | 142 N Queen St Ste 211, Martinsburg, WV 25401-3312 | 2019-05-01 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1952877334 | Callahan Counseling Services | Community/Behavioral Health | 415 Wilson St, Martinsburg, WV 25402-1074 | 2018-10-23 |
| 1326521840 | Compass Counseling, LLC | Community/Behavioral Health | 345 Prince St Ste 1, Beckley, WV 25801-4515 | 2018-09-11 |
| 1184117277 | Service Station, LLC | Community/Behavioral Health | 1611 Charleston Road, Poca, WV 25011 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY SPRING |
| Zip Code | 25411 |
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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.