Active NPI
Mountaineer Psychological Services, PLLC
- Clinical Psychologist
- Morgantown, WV
National Provider Identifier
1306242540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 926
- Legal business name
- MOUNTAINEER PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 100 Corporate Dr
Morgantown, WV 26501-4580 - Phone
- (304) 241-1766
- Fax
- (304) 381-2648
- NPI assigned
- Nov 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Guriel Myers, PH.D.
- Title
- Psychologist/Owner
- Phone
- (304) 241-1766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | 926 | WV | |
| Clinical Psychologist | 103TC0700X | 926 | WV | Primary |
| Forensic Psychologist | 103TF0200X | 926 | WV | |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
100 Corporate Dr
Morgantown, WV 26501-4580
Mailing address
100 Corporate Dr
Morgantown, WV 26501-4580
Phone (304) 241-1766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3910006572 | Medicaid | WV |
Other names 1
- Mountaineer Psychological Services PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Corporate Dr
Morgantown, WV 26501
Phone (304) 241-1766
4000 Coombs Farm Rd
Ste 102
Morgantown, WV 26508
Phone (304) 241-1766
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Morgantown, WV
- NPI 1376780221
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1831742337
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1801461686
-
- Social Worker
- Morgantown, WV
- NPI 1790674752
-
- Clinical Social Worker
- Morgantown, WV
- NPI 1609342328
-
- Social Worker
- Bridgeport, WV
- NPI 1386351484
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1689058331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1306242540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CORPORATE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265014580",
"telephone_number": "304-241-1766",
"fax_number": "304-381-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORPORATE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265014580",
"telephone_number": "304-241-1766",
"fax_number": "304-381-2648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAINEER PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "GURIEL",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "304-241-1766",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WV",
"license": "926",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "926",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "WV",
"license": "926",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3910006572",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountaineer Psychological Services PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.