Active NPI
Mountain Care Network
- Community/Behavioral Health Agency
- Charleston, WV
National Provider Identifier
1053962241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MOUNTAIN CARE NETWORK
- Practice address
- 1021 Quarrier St Ste 310
Charleston, WV 25301-2338 - Phone
- (304) 419-8890
- NPI assigned
- Sep 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Price, MSW, LICSW
- Title
- Owner
- Phone
- (304) 419-8890
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1021 Quarrier St Ste 310
Charleston, WV 25301-2338
Mailing address
1021 Quarrier St Ste 310
Charleston, WV 25301-2338
Phone (304) 419-8890
Other names 1
- MCN
National Provider Directory
National Provider DirectoryLocations
1206 Quarrier St
Charleston, WV 25301
Phone (304) 444-6090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577664000000",
"number": "1053962241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 310",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012338",
"telephone_number": "304-419-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 310",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012338",
"telephone_number": "304-419-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN CARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-27",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-419-8890",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MCN",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MCN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.