Individual provider Active NPI

Tiara Lyn Ferrell, APRN

  • Family Nurse Practitioner
  • Logan, WV
National Provider Identifier
1205550746
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114484 Issued in WV
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420001347 WV Practitioner - Nurse Practitioner 9436514767 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 0840240362, shared by 4 NPIs, 5 clinicians

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

LicenseStateTypeSpecialty
3018378KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan-Mingo Area Mental Health, Inc. Single Specialty Current Accepting new patients
Logan Mingo Area Mental Health Inc Single Specialty CurrentSince Jan 25, 2023 Accepting new patients
Logan-Mingo Area Mental Health, Inc CurrentSince Jan 25, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.