Mary Margaret McQueen, BCBA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

65 Professional PL Ste 102103
Bridgeport, WV 26330-0258

Phone

(304) 848-5770

Fax

(304) 848-0890

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Margaret Ruckle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountainside Behavior Analysis Services, LCC

  • Community/Behavioral Health Agency
  • Davis, WV
  • NPI 1225574544
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1104544980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300258",
            "telephone_number": "304-848-5770",
            "fax_number": "304-848-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RUCKLE",
            "middle_name": "MARGARET",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Marie McHenry, MA
• Holly Brianne McIntyre, M.S., CCC SLP
• Carol McLennan, FNP-C
• Dale McMillion, D.O.
• Deena McMunn
• Meadowbrook Counseling Services, LLC
• Meadowview Manor Health Care Center Inc.
• Med-Care LLC
• Medbrook Medical Assoc. Inc.
• Medbrook Medical Associates Inc

• Counselor in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.