NPIMap

Organization Active NPI

Cumberland Mountain Behavioral Health

  • Rural Health Clinic/Center
  • Williamsburg, KY
National Provider Identifier
1023955853
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CUMBERLAND MOUNTAIN BEHAVIORAL HEALTH
Practice address
323 Main St
Williamsburg, KY 40769-1123
Phone
(606) 825-6011
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CUMBERLAND MOUNTAIN BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cailen Wattenbarger BakerNPI 1497460588
Title
Pmhnp/Owner
Phone
(606) 825-6011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

323 Main St
Williamsburg, KY 40769-1123

Mailing address

323 Main St
Williamsburg, KY 40769-1123

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Mountain Behavioral Health2 organizations share this tax ID, including this one
Part of
Cumberland Mountain Behavioral Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

323 Main St
Williamsburg, KY 40769
Phone (606) 825-6005

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1023955853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691123",
            "telephone_number": "606-825-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MOUNTAIN BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND MOUNTAIN BEHAVIORAL HEALTH",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CAILEN",
        "authorized_official_middle_name": "WATTENBARGER",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "606-825-6011"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.