Individual provider Active NPI

Robert W Kiser, LPC

  • Professional Counselor
  • Buckhannon, WV
National Provider Identifier
1295074516
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2068 Issued in WV
Practice address
761 Tallmansville Rd
Buckhannon, WV 26201-1610
Phone
(304) 314-4803
Fax
(304) 501-1851
NPI assigned
Feb 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6230 SC
Professional Counselor 101YP2500X 2068 WV Primary

Addresses

Primary practice location

761 Tallmansville Rd
Buckhannon, WV 26201-1610

Mailing address

761 Tallmansville Rd
Buckhannon, WV 26201-1610
Phone (304) 314-4803

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
I20240212001146 WV Practitioner - Mental Health Counselor 2567805179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6230SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Belington Community Medical Services Association CurrentSince Jan 1, 2024 Accepting new patients
Superpsyched Solutions LLC Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Belington Community Medical Services Association CurrentSince Jan 1, 2024 Accepting new patients
Belington Community Medical Services Association Current Accepting new patients

Locations

70 N Sturmer St
Belington, WV 26250
Phone (304) 823-2800

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71927

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1295074516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 TALLMANSVILLE RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262011610",
            "telephone_number": "304-314-4803",
            "fax_number": "304-501-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 TALLMANSVILLE RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262011610",
            "telephone_number": "304-314-4803",
            "fax_number": "304-501-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6230",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

Verify at the official NPI Registry.