Marion Carol Bean Moreland
Individual provider Active NPI Mental Health Counselor · Fairmont, WV
NPI 1104456482 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1104456482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2585 (WV)
- Practice address
- 2600 Middletown CMNS Ste 130
Fairmont, WV 26554-0168 - Phone
- (303) 588-8296
- NPI assigned
- Jan 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2600 Middletown CMNS
Suite 130
Fairmont, WV 26554-0168
Phone (303) 588-8296
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250501000418 | WV | Practitioner - Mental Health Counselor | 4183140213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7746 | TN | MD | Mental Health Counselor |
| 549 | WV | MD | Registered Dietitian |
| 2585 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Moreland LLC | Single Specialty | Current |
Accepting new patients |
Locations
2600 Middletown Cmns
Ste 130
White Hall, WV 26554
Phone (303) 588-8296
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 549 | WV | |
| Mental Health Counselor |
101YM0800X | 2585 | WV | Yes |
Addresses
Primary practice location
2600 Middletown CMNS Ste 130
Fairmont, WV 26554-0168
Mailing address
2600 Middletown CMNS Ste 130
Fairmont, WV 26554-0168
Phone (303) 588-8296
Other providers in Fairmont, WV
- Kendra L Batson
- Daniela Battaglia
- BBC Rehab, PC,Inc
- Amelia D Beafore
- Yvonne Beaird
- Eric A Beard
- Angela Beasi
- Jessica Renae Beebe
- Franklin Ray Been
- Jami Lea Beezel
All providers in Fairmont, WV · Mental Health Counselor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.