Richard David Hague

Individual provider Active NPI Pastoral Counselor · Kearneysville, WV

NPI 1114795341 · NPPES record last updated Dec 18, 2023

Key facts

NPI
1114795341
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
3094 Charles Town Rd
Kearneysville, WV 25430-2669
Phone
(304) 901-2070
NPI assigned
Dec 18, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Behavioral Health Current
since Dec 24, 2023
Accepting new patients

Locations

3094 Charles Town Rd
Kearneysville, WV 25430
Phone (304) 901-2070

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

3094 Charles Town Rd
Kearneysville, WV 25430-2669

Mailing address

3094 Charles Town Rd
Kearneysville, WV 25430-2669
Phone (301) 676-4060

Other providers in Kearneysville, WV

All providers in Kearneysville, WV · Pastoral Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.