Deborah Nolley, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

641 Issued in WV

Practice address

2869 Seneca TRL S
Peterstown, WV 24963-5037

Phone

(304) 425-6110

Fax

(304) 487-6199

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monroe County Health Center Board of TrusteesGroup PAC ID 3173432671, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Union, WV
  • NPI 1992734487
  Medicare reassignment Care Compare group NPD
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Union, WV
  • NPI 1174066385
  NPD
• Medical Rehabilitation Associates, Inc PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burlington, KY
  • NPI 1871580969
  NPD (past)
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • New Castle, VA
  • NPI 1851585046
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1194713446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-425-6110",
            "fax_number": "304-487-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 SENECA TRL S",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249635037",
            "telephone_number": "304-425-6110",
            "fax_number": "304-487-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLEY",
        "first_name": "DEBORAH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001721196",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164458001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Mohler, PT, DPT
• Monroe County Health Center Board of Trustees
• Monroe County Health Center, Board of Trustees
• Monroe Health Center-Peterstown Lab
• Brenda Lee Nida
• Crystal Pennignton, LMT
• Nancy Pennington
• Peterstown Pharmacy
• Peterstown Volunteer Fire and Rescue Squad Inc
• Hannah Rebekah Prontiker, PA-C

• Psychologist in Peterstown, WV
• Providers in Peterstown, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.