Individual provider Active NPI

Carol Ann Lewis, LPC

  • Mental Health Counselor
  • Rainelle, WV
National Provider Identifier
1285261271
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC1925 Issued in WV
Practice address
176 Medical Center Dr
Rainelle, WV 25962-1064
Phone
(304) 438-6188
Fax
(304) 438-4037
NPI assigned
Mar 27, 2020
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC1925 WV Primary

Addresses

Primary practice location

176 Medical Center Dr
Rainelle, WV 25962-1064

Mailing address

176 Medical Center Dr
Rainelle, WV 25962-1064
Phone (304) 438-6188

Other practice location 1

158 Academy Lane, Route 3
Pence Springs, WV 24962-2496
Phone (304) 445-7790

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
I20240416004148 WV Practitioner - Mental Health Counselor 5597104067 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC1925WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc. Current Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc Mental Health Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. Current Accepting new patients
Rainelle Medical Center, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc. Current Accepting new patients

Locations

38378 Midland Trl E
Ste B
Caldwell, WV 24925
Phone (304) 520-0182

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1285261271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Academy Lane, Route 3",
            "address_purpose": "LOCATION",
            "city": "Pence Springs",
            "state": "WV",
            "postal_code": "249622496",
            "country_code": "US",
            "telephone_number": "304-445-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "LPC1925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainelle, WV

Sources for this page

Verify at the official NPI Registry.