CACAPON CENTER FOR GROWTH, PLLC


Address: 144 Grove Heights Road, Berkeley Spring, WV 25411-4816
Phone: 3045008133

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 144 GROVE HEIGHTS ROAD
City BERKELEY SPRING
State WV
Zip Code 25411-4816

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City BERKELEY SPRING
Zip Code 25411

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Dataset Information

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.

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