Active NPI
Tiara Lyn Ferrell, APRN
- Family Nurse Practitioner
- Logan, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 114484
- Practice address
- 174 Mental Health Rd
Logan, WV 25601 - Phone
- (304) 792-7130
- Fax
- (304) 792-7146
- NPI assigned
- Sep 28, 2022
- Last updated
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 114484 | WV | Primary |
| Family Nurse Practitioner | 363LF0000X | 3018378 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 114484 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3018378 | KY |
Addresses
Primary practice location
174 Mental Health Rd
Logan, WV 25601
Mailing address
160 E 2ND Ave
Williamson, WV 25661-3602
Phone (304) 784-7165
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Logan-Mingo Area Mental Health Inc
Practice addresses (Care Compare)
174 Lmah Ctr Rd
Logan, WV 25601-4058
Phone 30479271301027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018378 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan-Mingo Area Mental Health, Inc. | Single Specialty | Current | Accepting new patients |
| Logan Mingo Area Mental Health Inc | Single Specialty | Current | Accepting new patients |
| Logan-Mingo Area Mental Health, Inc | Current | Accepting new patients | |
| Logan-Mingo Area Mental Health, Inc. | Past | Accepting new patients |
Locations
174 Lmah Center Rd
Logan, WV 25601
Phone 3047927130 ext. 1027
174 Lmah Center Rd
#176
Logan, WV 25601
Phone 30479271301027
Interoperability endpoints
- tiara.ferrell.1@21756.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Logan, WV
- NPI 1427522218
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Logan, WV
- NPI 1346395035
Single Specialty
-
dba Mountain Laurel Integrated Healthcare
- Federally Qualified Health Center (FQHC)
- Logan, WV
- NPI 1598396202
-
- Community/Behavioral Health Agency
- Logan, WV
- NPI 1326192436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1205550746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E 2ND AVE",
"city": "WILLIAMSON",
"state": "WV",
"postal_code": "256613602",
"telephone_number": "304-784-7165",
"fax_number": "615-334-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 MENTAL HEALTH RD",
"city": "LOGAN",
"state": "WV",
"postal_code": "25601",
"telephone_number": "304-792-7130",
"fax_number": "304-792-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "TIARA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "114484",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3018378",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "114484",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3018378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.