Individual provider Active NPI

Shayne Miller

  • Professional Counselor
  • Parkersburg, WV
National Provider Identifier
1245722834
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3103 Issued in WV
Practice address
2101 Dudley Ave
Parkersburg, WV 26101-3462
Phone
(304) 861-4150
Fax
(304) 422-2170
NPI assigned
May 31, 2018
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 3103 WV Primary

Addresses

Primary practice location

2101 Dudley Ave
Parkersburg, WV 26101-3462

Mailing address

PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301

Other practice location 1

483 Court St
Elizabeth, WV 26143-1109
Phone (304) 275-3301

Other practice location 2

73 Nicolette Rd
Parkersburg, WV 26104-7236
Phone (304) 861-4141

Other practice location 3

606 Washington St
Ravenswood, WV 26164-1730
Phone (304) 273-1033

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
I20260310002239 WV Practitioner - Mental Health Counselor 2961985817 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wirt County Health Services Association, IncGroup PAC ID 7810806577, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

2101 Dudley Ave
Parkersburg, WV 26101-3462
Phone (304) 861-4150

PO Box
Suite 609
Elizabeth, WV 26143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3103WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association Inc CurrentSince Jan 4, 2026 Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Jan 4, 2026 Accepting new patients
Wirt County Health Services Association Inc CurrentSince Jan 4, 2026 Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Jan 4, 2026 Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Jan 4, 2026 Accepting new patients
Wirt County Health Services Association, Inc PastSince Jan 4, 2026 Accepting new patients
Pfeifer Counseling, Consulting and Training LLC Professional Past Accepting new patients
L & P Services, Inc. Professional Past Accepting new patients

Locations

483 Court St
Elizabeth, WV 26143
Phone (304) 275-3301

2101 Dudley Ave
Parkersburg, WV 26101
Phone (304) 420-9595

2610 Camden Ave
Parkersburg, WV 26101
Phone (304) 428-1161

73 Nicolette Rd
Parkersburg, WV 26104
Phone (304) 861-4141

606 Washington St
Ravenswood, WV 26164
Phone (304) 273-1033

512A Church St S
Ripley, WV 25271
Phone (304) 372-1033

562 Charleston Dr
Ripley, WV 25271
Phone (304) 372-7341

Organizations & group practices 9

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1245722834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013462",
            "telephone_number": "304-861-4150",
            "fax_number": "304-422-2170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Court St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "WV",
            "postal_code": "261431109",
            "country_code": "US",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Nicolette Rd",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261047236",
            "country_code": "US",
            "telephone_number": "304-861-4141",
            "fax_number": "304-917-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Washington St",
            "address_purpose": "LOCATION",
            "city": "Ravenswood",
            "state": "WV",
            "postal_code": "261641730",
            "country_code": "US",
            "telephone_number": "304-273-1033",
            "fax_number": "304-273-1034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.