MOUNTAIN CARE NETWORK (NPI# 1053962241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053962241 |
Entity Type | Organization |
Organization Name | MOUNTAIN CARE NETWORK |
Other Organization Name | MCN |
Practice Address |
1021 Quarrier St Ste 310 Charleston WV 25301-2338 |
Practice Telephone | 3044198890 |
Mailing Telephone | 3044198890 |
Enumeration Date | 2019-09-27 |
Last Update Date | 2019-12-30 |
Authorized Official Name | CRYSTAL PRICE (OWNER) |
Authorized Official Telephone | 3044198890 |
Authorized Official Credential | MSW, LICSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
MCN | Other Name - Individual/Organization |
Street Address |
1021 QUARRIER ST STE 310 |
City | CHARLESTON |
State | WV |
Zip Code | 25301-2338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821540279 | Crystal Price | Social Worker | 1021 Quarrier St Ste 310, Charleston, WV 25301-2338 | 2016-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
Find all providers in zip 25301 |
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 |
---|---|---|---|---|
1215541669 | Myndspace Mental Health Education & Consulting, LLC | Community/Behavioral Health | 111 Bantry Cir, Charleston, SC 29414-8089 | 2020-09-03 |
1467997650 | The Underprivileged Children Foundation Inc. | Community/Behavioral Health | 716 Lee St E Ste 201, Charleston, WV 25301-1707 | 2016-12-27 |
1669824561 | Advantage | Community/Behavioral Health | 606 Fort Hill Dr, Charleston, WV 25314-1070 | 2016-07-05 |
1821458928 | Wv Institute for Spirituliaty | Community/Behavioral Health | 1601 Virginia St E, Charleston, WV 25311-2113 | 2016-03-02 |
1619349453 | Star, LLC | Community/Behavioral Health | 1864 Greenmore Dr, Charleston, SC 29407-3520 | 2015-10-20 |
1144617325 | Alliance for Change, LLC | Community/Behavioral Health | 1335 Vine St, Charleston, SC 29407-6437 | 2015-04-24 |
1659763001 | C&c Conversations LLC | Community/Behavioral Health | 263 King St, B, Charleston, SC 29401-1420 | 2015-02-23 |
1073922555 | Truliant Health Systems LLC | Community/Behavioral Health | 1535 Sam Rittenberg Blvd, Suite C, Charleston, SC 29407-4124 | 2014-08-08 |
1912257924 | New Horizons Therapy, LLC | Community/Behavioral Health | 2587 Ashley River Rd, Charleston, SC 29414-4613 | 2012-09-17 |
1376814814 | Grant and Ramsey Behavioral Health | Community/Behavioral Health | 7934 Red Birch Cir, Charleston, SC 29418-3190 | 2012-01-13 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25301 |
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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.