MONONGALIA COUNTY CHILD ADVOCACY CENTER, INC. (NPI# 1053725309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053725309 |
| Entity Type | Organization |
| Organization Name | MONONGALIA COUNTY CHILD ADVOCACY CENTER, INC. |
| Practice Address |
909 Greenbag Rd Morgantown WV 26508-1504 |
| Practice Telephone | 3045980344 |
| Practice Fax Number | 3045980558 |
| Mailing Telephone | 3045980344 |
| Mailing Fax Number | 3045980558 |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2014-06-15 |
| Authorized Official Name | DR. LAURA CAPAGE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3045980344 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752124 | Monongalia County Child Advocacy Center, Inc. | Psychologist | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-31 |
| Street Address |
909 GREENBAG RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374016 | Billie J Keechel | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2007-02-16 |
| 1548752124 | Monongalia County Child Advocacy Center, Inc. | Psychologist | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-31 |
| 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 |
| 1356839161 | Laura Capage | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497906663 | The Center for Pediatric Neuropsychology & Behavioral Health, Pllc | Clinic/Center | 910 4th Ave, Suite 302, Huntington, WV 25701-1437 | 2008-10-07 |
| 1912034232 | Autism Services Center | Clinic/Center | 10 6th Ave W, Huntington, WV 25701-0028 | 2007-02-27 |
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.