Active NPI
Dwayne F Masters
- Mental Health Counselor
- Beckley, WV
National Provider Identifier
1316100522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AP00940097
- Practice address
- 130 George St # 6
Suite E-F
Beckley, WV 25801-2648 - Phone
- (304) 256-0200
- Fax
- (304) 256-0380
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AP00940097 | WV | Primary |
Addresses
Primary practice location
130 George St # 6
Suite E-F
Beckley, WV 25801-2648
Mailing address
130 George St # 6
Suite E-F
Beckley, WV 25801-2648
Phone (304) 256-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP00940097 | Other | WV | SOCIAL WORK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
130 George St
Suite E F
Beckley, WV 25801-2648
Phone (304) 256-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00940097 | WV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pyramid Counseling Limited Liability Company | Mental Health | Current | Accepting new patients |
Locations
130 George St
Ste Ef
Beckley, WV 25801
Phone (304) 256-0200
3738 Davis Stuart Rd
Lewisburg, WV 24901
Phone (304) 645-3207
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Beckley, WV
- NPI 1962546622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1316100522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GEORGE ST # 6",
"address_2": "SUITE E-F",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012648",
"telephone_number": "304-256-0200",
"fax_number": "304-256-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GEORGE ST # 6",
"address_2": "SUITE E-F",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012648",
"telephone_number": "304-256-0200",
"fax_number": "304-256-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "DWAYNE",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "AP00940097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "AP00940097",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.