Individual provider Active NPI

Beverly Dawn McDonald, LPC

  • Professional Counselor
  • Chapmanville, WV
National Provider Identifier
1124638994
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2748 Issued in WV
Practice address
909 White Oak Rd
Chapmanville, WV 25508-9592
Phone
(304) 928-8700
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2748 WV Primary

Addresses

Primary practice location

909 White Oak Rd
Chapmanville, WV 25508-9592

Mailing address

909 White Oak Rd
Chapmanville, WV 25508-9592
Phone (304) 928-8700

Other practice location 1

716 Lee St E Ste 201
Charleston, WV 25301-1707
Phone (304) 807-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000300 WV Practitioner - Mental Health Counselor 5092188342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ridgeline ServicesGroup PAC ID 1850792896, 3 clinicians

Practice addresses (Care Compare)

2162 Childress Rd
Alum Creek, WV 25003-9546
Phone (304) 745-7837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc CurrentSince Jan 1, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Ridgeline Services Professional CurrentSince Jan 1, 2024 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
The Underprivileged Children Foundation Inc. PastSince Aug 1, 2020 Accepting new patients
Seasons Treatment, LLC Professional Past Accepting new patients

Locations

22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1124638994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WHITE OAK RD",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089592",
            "telephone_number": "304-928-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WHITE OAK RD",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089592",
            "telephone_number": "304-928-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Lee St E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011707",
            "country_code": "US",
            "telephone_number": "304-807-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BEVERLY",
        "middle_name": "DAWN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.