COUNCIL OF THE SOUTHERN MOUNTAINS, INC. (NPI# 1487926648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487926648 |
| Entity Type | Organization |
| Organization Name | COUNCIL OF THE SOUTHERN MOUNTAINS, INC. |
| Practice Address |
148 Mcdowell St Welch WV 24801-2225 |
| Practice Telephone | 3044366800 |
| Practice Fax Number | 3044366803 |
| Mailing Telephone | 3044366800 |
| Mailing Fax Number | 3044366803 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | RANDAL JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3044366800 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 384 | WV | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351392 | Council of The Southern Mountains, Inc. | Community/Behavioral Health | 148 Mcdowell St, Welch, WV 24801-2225 | 2013-04-04 |
| Street Address |
148 MCDOWELL ST |
| City | WELCH |
| State | WV |
| Zip Code | 24801-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896993 | Council of The Southern Mountains | Community/Behavioral Health | 148 Mcdowell St, Welch, WV 24801-2225 | 2017-04-24 |
| 1023351392 | Council of The Southern Mountains, Inc. | Community/Behavioral Health | 148 Mcdowell St, Welch, WV 24801-2225 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
| 1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
| 1154929545 | Amber Stacy | Technician | 3057 Maple Acres Road, Bluefield, WV 24801 | 2020-10-16 |
| 1639625270 | Kelly Beth Belt | Physician Assistant | 454 Mcdowell Street, Welch, WV 24801 | 2016-09-01 |
| 1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
| 1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
| 1417088741 | Mcdowell Professioal Sleep Lab | Specialist/Technologist, Other | Route52 Main Street, Welch, WV 24801 | 2007-03-08 |
| 1073656641 | Looney Enterprises LLC | Optometrist | 794 Virginia Ave., Welch, WV 24801 | 2007-02-14 |
| 1124115829 | Rahmet Muzaffer | Pediatrics | 66 Elkins Street, Welch, WV 24801 | 2006-10-06 |
| 1619920600 | Nichole Maureen Horsford, M.d. | Psychiatry & Neurology | 151 Rt. 52 North, Welch, WV 24801 | 2006-05-18 |
| Find all providers in zip 24801 | ||||
| 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 |
|---|---|---|---|---|
| 1558896993 | Council of The Southern Mountains | Community/Behavioral Health | 148 Mcdowell St, Welch, WV 24801-2225 | 2017-04-24 |
| 1023351392 | Council of The Southern Mountains, Inc. | Community/Behavioral Health | 148 Mcdowell St, Welch, WV 24801-2225 | 2013-04-04 |
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.