Mariah Peterson, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

130 Center St
Keyser, WV 26726-3520

Phone

(304) 788-1113

Fax

(304) 788-2777

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mariah Jo Whiteman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Mountain State Psychological Services, PLLC

  • Intellectual & Developmental Disabilities Psychologist
  • Keyser, WV
  • NPI 1326117409
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1245686179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTER ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263520",
            "telephone_number": "304-788-1113",
            "fax_number": "304-788-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTER ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263520",
            "telephone_number": "304-788-1113",
            "fax_number": "304-788-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARIAH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "WHITEMAN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kista Paugh
• Ronald Gary Paugh
• Cody Perea
• Mariah Perry
• Whitney Perry
• Amanda Phares
• Physician Management Services of West Virginia II, LLC
• Samuel Pilla, MD
• Maryssa Jane Piper
• Potomac Valley Hospital of W VA , Inc

• Mental Health Counselor in Keyser, WV
• Providers in Keyser, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.